Active NPI
Lisa Shannon Hubbard, LAC, LADAC
- Mental Health Counselor
- Yellville, AR
National Provider Identifier
1306574348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2511009
- Practice address
- 1494 Marion County 6007
Yellville, AR 72687-8771 - Phone
- (817) 495-8417
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2511009 | AR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 523L | AR |
Addresses
Primary practice location
1494 Marion County 6007
Yellville, AR 72687-8771
Mailing address
1494 Marion County 6007
Yellville, AR 72687-8771
Phone (817) 495-8417
Other practice location 1
2012 Highway 62 412
Highland, AR 72542-9477
Phone (870) 856-3337
Other practice location 2
303 W Newman Ave
Harrison, AR 72601-5839
Phone (870) 266-6220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523L | AR | MD | Addiction (Substance Use Disorder) Counselor |
| A2511009 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1306574348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 MARION COUNTY 6007",
"city": "YELLVILLE",
"state": "AR",
"postal_code": "726878771",
"telephone_number": "817-495-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1494 MARION COUNTY 6007",
"city": "YELLVILLE",
"state": "AR",
"postal_code": "726878771",
"telephone_number": "817-495-8417"
}
],
"practiceLocations": [
{
"address_1": "2012 Highway 62 412",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "AR",
"postal_code": "725429477",
"country_code": "US",
"telephone_number": "870-856-3337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 W Newman Ave",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "AR",
"postal_code": "726015839",
"country_code": "US",
"telephone_number": "870-266-6220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "LISA",
"middle_name": "SHANNON",
"credential": "LAC, LADAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2511009",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "523L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.