Wallace Shearon, LMFT
NPI 1568422533 · Mental Health Counselor · Ormond Beach, FL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Shearon, LMFT is a Mental Health Counselor provider in Ormond Beach, FL (NPI 1568422533).
Provider details
- NPI number
- 1568422533
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT1767 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Frequently asked questions
- What is Wallace Shearon's NPI number?
- Wallace Shearon's National Provider Identifier (NPI) is 1568422533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Shearon's specialty?
- Wallace Shearon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wallace Shearon located?
- Wallace Shearon's practice location on file with NPPES is 565 Memorial Cir, Ormond Beach, FL 32174-5001.
- What is Wallace Shearon's phone number?
- The practice phone number listed in the NPPES registry for Wallace Shearon is (386) 310-8766.
- Does Wallace Shearon accept Medicare?
- Wallace Shearon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wallace Shearon's NPI active?
- Yes — Wallace Shearon's NPI (1568422533) is active in the NPPES registry as of the last update on 2019-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.