Individual provider Active NPI

Shelley Dineane Sailor, LPC

  • Mental Health Counselor
  • Jonesboro, AR
National Provider Identifier
1316254352
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1308090 Issued in AR
Practice address
2801 County Road 762
Jonesboro, AR 72405-8237
Phone
(870) 361-3888
Fax
(870) 361-3889
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 P1308090 AR Primary
Professional Counselor 101YP2500X P1308090 AR

Addresses

Primary practice location

2801 County Road 762
Jonesboro, AR 72405-8237

Mailing address

PO Box 164
Brookland, AR 72417-0164
Phone (870) 361-3888

Other names 1

  • Shelley Sailor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20251021000082 AR Practitioner - Mental Health Counselor 0941798219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

208 Cobean Blvd
Lake City, AR 72437-9704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1308090ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Time for Peace PLLC Professional CurrentSince Jul 17, 2025 Accepting new patients
Clear Skies Counseling PLLC Mental Health Current Accepting new patients

Locations

208 Cobean Blvd
Lake City, AR 72437
Phone (870) 237-1329

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1316254352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "BROOKLAND",
            "state": "AR",
            "postal_code": "724170164",
            "telephone_number": "870-361-3888",
            "fax_number": "870-361-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 COUNTY ROAD 762",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724058237",
            "telephone_number": "870-361-3888",
            "fax_number": "870-361-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAILOR",
        "first_name": "SHELLEY",
        "middle_name": "DINEANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1308090",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1308090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "SAILOR",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.