Individual provider Active NPI

Shavon Rich, LPC

  • Mental Health Counselor
  • Dothan, AL
National Provider Identifier
1396432514
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
256 Honeysuckle Rd Ste 24
Dothan, AL 36305-1119
Phone
(334) 405-7284
Fax
(256) 207-4720
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC05314 AL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

256 Honeysuckle Rd Ste 24
Dothan, AL 36305-1119

Mailing address

1301 Sioux St
Dothan, AL 36303-3259
Phone (334) 200-1538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC05314ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Instilling Hope Professional Counseling Services LLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients

Locations

256 Honeysuckle Rd
Ste 24
Dothan, AL 36305
Phone (334) 405-7284

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1396432514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SIOUX ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033259",
            "telephone_number": "334-200-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD STE 24",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051119",
            "telephone_number": "334-405-7284",
            "fax_number": "256-207-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "SHAVON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05314",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.