Individual provider Active NPI

Rosharon Shunta Turner, LPC

  • Professional Counselor
  • Atlanta, TX
National Provider Identifier
1588039671
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79062 Issued in TX
Practice address
1011 S William St
Atlanta, TX 75551-3245
Phone
(903) 796-2868
Fax
(903) 796-0826
NPI assigned
Dec 1, 2015
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 6379 LA
Professional Counselor 101YP2500X 79062 TX Primary

Addresses

Primary practice location

1011 S William St
Atlanta, TX 75551-3245

Mailing address

PO Box 1326
Marshall, TX 75671-1326
Phone (903) 927-3782

Other practice location 1

5902 Buncombe Rd
Shreveport, LA 71129
Phone (318) 670-8898

Other practice location 2

3341 Youree Dr Ste 205
Shreveport, LA 71105-2149
Phone (318) 219-4167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240124003770 TX Practitioner - Mental Health Counselor 6507219789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health ClinicGroup PAC ID 8820038565, 55 clinicians

Practice addresses (Care Compare)

1400 College Dr
Texarkana, TX 75503-3536
Phone (903) 791-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6379LAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Border Health Clinic CurrentSince Jan 1, 2024 Accepting new patients
East Texas Border Health Clinic Current Accepting new patients
East Texas Border Health Clinic CurrentSince Jan 1, 2024 Accepting new patients
East Texas Border Health Clinic PastSince Sep 21, 2025 Accepting new patients
Merakey Pennsylvania Past Accepting new patients
East Texas Border Health Clinic PastSince Sep 5, 2021 Accepting new patients

Locations

1011 S William St
Atlanta, TX 75551
Phone (903) 796-2868

1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110

Organizations & group practices 7

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1588039671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711326",
            "telephone_number": "903-927-3782",
            "fax_number": "903-927-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513245",
            "telephone_number": "903-796-2868",
            "fax_number": "903-796-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5902 Buncombe Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71129",
            "country_code": "US",
            "telephone_number": "318-670-8898",
            "fax_number": "318-300-3772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3341 Youree Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052149",
            "country_code": "US",
            "telephone_number": "318-219-4167",
            "fax_number": "318-219-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ROSHARON",
        "middle_name": "SHUNTA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6379",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, TX

Sources for this page

Verify at the official NPI Registry.