Shannon Newton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1701214 Issued in AR

Practice address

3408 W Fairfax St
Fayetteville, AR 72704-5373

Phone

(479) 871-4595

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Schalles Former name

Medicare fee-for-service enrollment

Enrolled in AR

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Rooted Hope Counseling and Consulting PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, AR
  • NPI 1467025783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1821477548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W FAIRFAX ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045373",
            "telephone_number": "479-871-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W FAIRFAX ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045373",
            "telephone_number": "479-871-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 N Investment Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035458",
            "country_code": "US",
            "telephone_number": "479-435-9356",
            "fax_number": "479-268-4723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "318-398-0945 x255",
            "fax_number": "318-398-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4665",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1701214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SCHALLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie A Newman, APRN
• James A Newton, M.D.
• Janae Newton, DO
• Karen B Newton, RD, LD, CDE
• Madison M Newton, RN
• Anthony Nguyen
• Diem Nguyen
• Jennifer Nguyen
• Lucy Nguyen, PHARM.D.
• Paul Van Nguyen, OD

• Professional Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.