Individual provider Active NPI

Shelly Reaves, LPC, LADAC, MAC, SAP

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1528397726
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1211111 Issued in AR
Practice address
1730 SE Moberly LN Ste 5
Bentonville, AR 72712-7643
Phone
(479) 422-4657
NPI assigned
Dec 17, 2009
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 356L AR
Professional Counselor 101YP2500X P1211111 AR Primary

Addresses

Primary practice location

1730 SE Moberly LN Ste 5
Bentonville, AR 72712-7643

Mailing address

1730 SE Moberly LN Ste 5
Bentonville, AR 72712-7643
Phone (479) 422-4657

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
I20240226002484 AR Practitioner - Mental Health Counselor 2365887718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1730 SE Moberly LN
Suite 5
Bentonville, AR 72712-7643
Phone (479) 422-4657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356LARMDAddiction (Substance Use Disorder) Counselor
P1211111ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shelly Reaves Counseling Services CurrentSince Jan 1, 2024 Accepting new patients
Housley & Reaves, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1730 SE Moberly Ln
Ste 5
Bentonville, AR 72712
Phone (479) 422-4657

1732 SE Moberly Ln
Bentonville, AR 72712
Phone (479) 301-9132

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1528397726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SE MOBERLY LN STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127643",
            "telephone_number": "479-422-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SE MOBERLY LN STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127643",
            "telephone_number": "479-422-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "SHELLY",
        "credential": "LPC, LADAC, MAC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "356L",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1211111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.