Shiloh'S Counseling and Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHILOH'S COUNSELING AND WELLNESS LLC

Practice address

3634 Central Ave Ste a
Hot Springs, AR 71913-6472

Phone

(501) 547-3763

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Jason Waller, LPCNPI 1780987362

Title

Manager

Phone

(501) 547-3763

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jason Waller, LPC

  • Professional Counselor
  • Hot Springs, AR
  • NPI 1780987362
  NPD Authorized official

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1346904331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 CENTRAL AVE STE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136472",
            "telephone_number": "501-547-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 CENTRAL AVE STE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136472",
            "telephone_number": "501-547-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH'S COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-547-3763",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "P2108017",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Torey Shelnut
• Toni Shelton, LPN
• Paul M Shepard, RN, MSN, APN
• Donna Sheppard, LPC
• Ryan Mitchell Sherman
• Steven Andrew Shipp, DNP, CRNA
• Scotty Wayne Shirley, MHPP
• Miriam D Shively, OTR,L,CHT
• Nathan Short
• Ronald Lynn Short

• All providers in Hot Springs, AR
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.