Shelby Deason Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PLC6441 Issued in LA

Practice address

4787 Highway 151
Downsville, LA 71234-5145

Phone

(318) 283-8887

NPI assigned

Dec 15, 2015

Last updated

Apr 9, 2024By the provider in NPPES

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

Enrolled in LA

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Ward 3 4 and 10 Hospital Service District of Parish of UnionGroup PAC ID 8123011137, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ward 3 4 & 10 Hospital Service District of Parish of Union

  dba Reeves Memorial Medical Center

  • Family Medicine Physician
  • Bernice, LA
  • NPI 1124277728
  Medicare reassignment Care Compare group NPD
• Morehouse Community Medical Centers, Inc.

  dba CommuniHealth Services

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1053373191
  Medicare reassignment NPD
• Morehouse Community Medical Centers, Inc

  dba CommuniHealth Services Morehouse Elementary School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1114252558
  NPD
• Morehouse Community Medical Centers, Inc.

  dba CommuniHealth Services Miller Roy Clinic

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1114740438
  NPD

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1659736809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4787 HIGHWAY 151",
            "city": "DOWNSVILLE",
            "state": "LA",
            "postal_code": "712345145",
            "telephone_number": "318-283-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELBY",
        "middle_name": "DEASON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC6441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Agency Group
• Myriah Garaudy, M.A.
• Morehouse Community Medical Centers, Inc. (CommuniHealth Services - Downsville Clinic)
• Prime Neurodiagnostics, LLC
• Jessica Buck Smith, FNPC

• Professional Counselor in Downsville, LA
• Providers in Downsville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.