Individual provider Active NPI

Lisa Shannon Hubbard, LAC, LADAC

  • Mental Health Counselor
  • Yellville, AR
National Provider Identifier
1306574348
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2511009 Issued in AR
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

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
523LARMDAddiction (Substance Use Disorder) Counselor
A2511009ARMDMental 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.

Verify at the official NPI Registry.