Active NPI
Shavon Lashelle Hill, LPC
- Mental Health Counselor
- Texarkana, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A1601009
- Practice address
- 1305 Arkansas Blvd
Texarkana, AR 71854-1890 - Phone
- (870) 340-2636
- Fax
- (833) 226-0134
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1601009 | AR | Primary |
Addresses
Primary practice location
1305 Arkansas Blvd
Texarkana, AR 71854-1890
Mailing address
1202 N Stateline
Texarkana, AR 71854
Phone (870) 774-0920
Other practice location 1
1202 N Stateline
Texarkana, AR 71854
Phone (870) 774-0920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1601009 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1601009 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Therapy, PLC | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Transitions Counseling Clinic PLC | Mental Health | Past | Accepting new patients |
Locations
304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294
10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300
1305 Arkansas Blvd
Ste 101
Texarkana, AR 71854
Phone (870) 773-0217
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1356604219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1598124356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 N STATELINE",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "71854",
"telephone_number": "870-774-0920",
"fax_number": "870-774-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 ARKANSAS BLVD",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541890",
"telephone_number": "870-340-2636",
"fax_number": "833-226-0134"
}
],
"practiceLocations": [
{
"address_1": "1202 N Stateline",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "71854",
"country_code": "US",
"telephone_number": "870-774-0920",
"fax_number": "870-774-0926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "SHAVON",
"middle_name": "LASHELLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1601009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A1601009",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.