Shanice Coburn, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

323 Center St Ste 1420
Little Rock, AR 72201-2651

Phone

(501) 474-6131

NPI assigned

Aug 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tenacious Healing & Consulting, LLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1912753328
  NPD Authorized official
• Refresh in-Home Counseling LLC

  • Clinical Social Worker
  • Antioch, IL
  • NPI 1609365519
  NPD (past)

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1386043537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CENTER ST STE 1420",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012651",
            "telephone_number": "501-474-6131",
            "fax_number": "501-298-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CENTER ST STE 1420",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012651",
            "telephone_number": "501-474-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "SHANICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7338-C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Cobb, APRN
• Rhonda Denise Cobb, PHARM D
• Sarah Beth Cobb, M.D.
• Ka'Nesheia Cobbins
• Lisa Blair Coburn, M.D.
• Deanna Dupray Cochran, MD
• Theodore S Cochran, PT
• William Austin Cochran III, PH.D.
• Cecelia A Cockburn, CRNA
• Kaitlin E Cockerell, M.D.

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.