Shaquita M Cornelius, LAC
Individual provider Active NPI Counselor · Dumas, AR
NPI 1801525779 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1801525779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- A2603005 (AR)
- Practice address
- 741 Highway 65 S
Dumas, AR 71639-3003 - Phone
- (870) 382-4001
- Fax
- (870) 382-6094
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A2603005 | AR | Yes |
Addresses
Primary practice location
741 Highway 65 S
Dumas, AR 71639-3003
Mailing address
790 Roberts Dr
Monticello, AR 71655-5723
Phone (870) 367-2461
Other providers in Dumas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.