Active NPI
Shannon Fletcher
- Mental Health Counselor
- Little Rock, AR
National Provider Identifier
1649343070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A0903038
- Practice address
- 2 Innwood Cir Ste a
Little Rock, AR 72211-2490 - Phone
- (501) 954-7470
- Fax
- (501) 954-7420
- NPI assigned
- Nov 15, 2006
- Last updated
- Oct 27, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0095961 | NM | |
| Mental Health Counselor | 101YM0800X | A0903038 | AR | Primary |
| School Counselor | 101YS0200X | NM | ||
| School Counselor | 101YS0200X | AR | ||
| Art Therapist | 221700000X | A0903038 | AR |
Addresses
Primary practice location
2 Innwood Cir Ste a
Little Rock, AR 72211-2490
Mailing address
2 Innwood Cir Ste a
Little Rock, AR 72211-2490
Phone (501) 954-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0095961 | NM | MD | Mental Health Counselor |
| A0903038 | AR | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1649343070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INNWOOD CIR STE A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112490",
"telephone_number": "501-954-7470",
"fax_number": "501-954-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INNWOOD CIR STE A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112490",
"telephone_number": "501-954-7470",
"fax_number": "501-954-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0095961",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A0903038",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "AR",
"license": "A0903038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.