Individual provider Active NPI

Sheila A Fontenot, MA, LPC

  • Professional Counselor
  • Branson, MO
National Provider Identifier
1831869502
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022012915 Issued in MO
Practice address
4480 Gretna Rd
Branson, MO 65616-7202
Phone
(417) 761-5492
Fax
(417) 336-1204
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10386 LA
Professional Counselor 101YP2500X 2022012915 MO Primary

Addresses

Primary practice location

4480 Gretna Rd
Branson, MO 65616-7202

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214

Other practice location 1

3003 E Chestnut Expy Ste 800
Springfield, MO 65802-6311
Phone (337) 692-6423

Other identifiers 1

IdentifierTypeStateIssuer
490108477MedicaidMO

Other names 1

  • Sheila A Chamberlain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20231207002551 MO Practitioner - Mental Health Counselor 4385094317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

4480 Gretna Rd
Branson, MO 65616-7202
Phone (417) 761-5492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10386LAMDProfessional Counselor
2022012915MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Resources, LLC Professional CurrentSince Nov 13, 2023 Accepting new patients
Burrell, Inc. CurrentSince Feb 19, 2025 Accepting new patients
Burrell, Inc. CurrentSince Feb 19, 2025 Accepting new patients
Branim Mental Health Services LLC PastSince Jul 22, 2025 Accepting new patients

Locations

4480 Gretna Rd
Branson, MO 65616
Phone (417) 334-2114

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

1300 E Bradford Pkwy
#H
Springfield, MO 65804

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

3003 E Chestnut Expy
Ste 800
Springfield, MO 65802
Phone (337) 692-6423

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1831869502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5214",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 GRETNA RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167202",
            "telephone_number": "417-761-5492",
            "fax_number": "417-336-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 E Chestnut Expy Ste 800",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658026311",
            "country_code": "US",
            "telephone_number": "337-692-6423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "SHEILA",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "10386",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022012915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490108477",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "CHAMBERLAIN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.