Shannan Stewart, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2209023 Issued in AR

Practice address

201 W. 2ND Street
Lonoke, AR 72086

Phone

(501) 676-3151

NPI assigned

Oct 28, 2019

Last updated

Oct 6, 2022By 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 2

Addresses

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

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.

• Professional Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1437164977
  Medicare reassignment NPD
• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lonoke, AR
  • NPI 1356965990
  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1952944407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172954",
            "telephone_number": "501-221-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W. 2ND STREET",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "72086",
            "telephone_number": "501-676-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SHANNAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2209023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Smith, APRN
• Trisha Leigh Smith, PHARMD
• Jaime Starling, LPC
• State of Arkansas (Lonoke County Health Unit)
• Stephen L Baugh OD
• Brian Stiles, MSW, MHPP
• Amanda Kay Stock, LPN
• Sara Camille Sullivan, RN, LMT
• Angela Katherine Sumner, PHARMD
• Thomas L Sustich, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.