Individual provider Active NPI

Shannon Treadwell

  • Mental Health Counselor
  • Gadsden, AL
National Provider Identifier
1386009793
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC04746 Issued in AL
Practice address
603 Camelia Ave
Gadsden, AL 35903-2913
Phone
(256) 553-9214
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC04746 AL Primary

Addresses

Primary practice location

603 Camelia Ave
Gadsden, AL 35903-2913

Mailing address

603 Camelia Ave
Gadsden, AL 35903-2913
Phone (256) 553-9214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20251226002328 AL Practitioner - Mental Health Counselor 7810483096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-8100

940 Gilberts Ferry Rd
Suite B
Gadsden, AL 35905-8999
Phone (334) 239-2622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC04746ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Oct 12, 2025 Accepting new patients
From Within Counseling and Consulting LLC Mental Health Current Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1386009793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CAMELIA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032913",
            "telephone_number": "256-553-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CAMELIA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032913",
            "telephone_number": "256-553-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.