John L. Shasteen LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-1285 Issued in AR

Legal business name

JOHN L. SHASTEEN LLC

Practice address

1803 SW Regional Airport Blvd Ste 5
Bentonville, AR 72712-8792

Phone

(479) 876-8626

Fax

(479) 876-8636

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

John L Shasteen, LCSW

Title

Behavioral Health Therapist

Phone

(479) 876-8626

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael William Holland, PH.D., LPC, LADAC

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1477888741
  NPD (past)
• Amanda Baker McKeigney-Childs, LCSW

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1407976632
  NPD (past)
• Valerie Diane Perry, LCSW

  • Clinical Social Worker
  • Bentonville, AR
  • NPI 1932398617
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1265892087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-876-8626",
            "fax_number": "479-876-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SW REGIONAL AIRPORT BLVD STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128792",
            "telephone_number": "479-876-8626",
            "fax_number": "479-876-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. SHASTEEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "SHASTEEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "479-876-8626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "C-1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Arleese Jewell, MD
• Joshua Jimenez
• JMC Counseling Services PLLC
• Sidharth Navin Jogani, M.D.
• John D Williams DDS PA
• Amanda Johnson, CNP
• Bethany Johnson, OTA
• Bridget Nichol Johnson, PT
• Debra L Johnson, LPN
• Heather Johnson

• Clinical Social Worker in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.