Shelly Richardson

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

18292 Issued in TX

Practice address

1916 Mont Hall Rd
Hallsville, TX 75650-4424

Phone

(903) 452-3454

NPI assigned

Jul 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Bridge Counseling, PLLCGroup PAC ID 5698290328, 2 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 and National Provider Directory roles.

• Oak Bridge Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
  • NPI 1407533417

  Mental Health (Including Community Mental Health Center)

  Medicare reassignment Care Compare group NPD
• Trinity Congruent Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Hill, TX
  • NPI 1053174573

  Mental Health (Including Community Mental Health Center)

  Medicare reassignment NPD
• Beyond the Label School Psychology and Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallsville, TX
  • NPI 1205635174

  Mental Health (Including Community Mental Health Center)

  NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1891531315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 MONT HALL RD",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756504424",
            "telephone_number": "903-452-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 MONT HALL RD",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756504424",
            "telephone_number": "903-452-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Loop 281 Ste 316",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042930",
            "country_code": "US",
            "telephone_number": "903-261-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18292",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "18292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jessica Posey, RN
• Pressure Point Mobile Phlebotomy
• Cassi Prewitt, LAT
• Meredith Joy Ramos, MT-BC
• Tara Rangel, M.S. CCC-SLP
• Porche Russell, APRN
• Layne Smith, LPC
• Social Work Solutions, LLC
• Katherine Rita Spellman, RN
• Stevi Stanley, LMSW

• Adolescent and Children Mental Health Clinic/Center in Hallsville, TX
• Providers in Hallsville, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.