Shawnda Elaine Wear, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2501017 Issued in AR

Practice address

2408 S 51St CT Ste G
Fort Smith, AR 72903-3666

Phone

(479) 323-2424

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Renewed Grace Counseling, LLC

  • Mental Health Counselor
  • Van Buren, AR
  • NPI 1922956366
  NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1619609906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MABLE NELL RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562964",
            "telephone_number": "479-806-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 S 51ST CT STE G",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033666",
            "telephone_number": "479-323-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Mable Nell Rd",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729562964",
            "country_code": "US",
            "telephone_number": "479-806-3237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAR",
        "first_name": "SHAWNDA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2501017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waters of Fort Smith LLC
• Krysten Anne Watson
• Robyn Watson, MHPP
• Melissa R Watts, SLP
• Mark A Wear, PHARM D.
• Paula Celeste Weaver, LAC
• James Jackson Webb Jr., D. O.
• Jamie Webb, LAC
• Kelly Webb, LPC
• Sarahrose Schneider Webster, M.D.

• Mental Health Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.