Individual provider Active NPI

Shavon Lashelle Hill, LPC

  • Mental Health Counselor
  • Texarkana, AR
National Provider Identifier
1598124356
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1601009 Issued in AR
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

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A1601009MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241115000054 AR Practitioner - Mental Health Counselor 9234663055 Reassigns benefits to 1 organization
I20250423003014 TX Practitioner - Mental Health Counselor 9234663055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1601009ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chenal Family Therapy, PLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 29, 2025 Accepting new patients
Transitions Counseling Clinic PLC Mental Health PastSince Apr 9, 2023 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.

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

Verify at the official NPI Registry.