Shelley Marie Coughlin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10285 Issued in KS

Practice address

1000 Lincoln St
Emporia, KS 66801-2449

Phone

(620) 343-2211

Fax

(620) 342-1021

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric and Counseling Associates LLCGroup PAC ID 6507881422, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychiatric and Counseling Associates LLC

  dba LifeStance Health

  • Behavioral Neurology & Neuropsychiatry Physician
  • Overland Park, KS
  • NPI 1114096385
  Medicare reassignment Care Compare group NPD
• Inspire Behavioral Health Services LLC

  • Mental Health Counselor
  • Westwood, KS
  • NPI 1114656584
  Medicare reassignment NPD
• Mental Health Center of East Central Kansas a Corporation

  dba CrossWinds Counseling and Wellness

  • Community/Behavioral Health Agency
  • Emporia, KS
  • NPI 1740365758
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1215588124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449",
            "telephone_number": "620-343-2211",
            "fax_number": "620-342-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Holliday St",
            "address_purpose": "LOCATION",
            "city": "Osage City",
            "state": "KS",
            "postal_code": "665231138",
            "country_code": "US",
            "telephone_number": "620-343-2211",
            "fax_number": "620-342-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "SHELLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "10285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany L. Cooper
• Chloe Cope
• Corner House Inc
• Rachael Correll, DPT
• Irina N. Cortinas, PTA
• Madison Lea Coursen
• Lynn A Cramer, D.D.S.
• CRC Optometry LLC
• Katie Lyn Crook, LPC
• Kristi Lee Crosby, RN, BSN

• Clinical Social Worker in Emporia, KS
• Providers in Emporia, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.