Individual provider Active NPI

Shelby Knapple, LAC

  • Counselor
  • Greenwood, AR
National Provider Identifier
1316328685
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A1711318 Issued in AR
Practice address
1200 W Center St
Greenwood, AR 72936-3716
Phone
(479) 996-7878
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A1711318 AR Primary

Addresses

Primary practice location

1200 W Center St
Greenwood, AR 72936-3716

Mailing address

PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040

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
I20250725001333 AR Practitioner - Mental Health Counselor 0941717987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1711318ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Knapple Counseling Counselor Current Accepting new patients

Organizations & group practices 1

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1316328685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23070",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230070",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363716",
            "telephone_number": "479-996-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPPLE",
        "first_name": "SHELBY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A1711318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

Verify at the official NPI Registry.