Shannon Larry Sumrall, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3109 Issued in LA

Practice address

234 Highway 28 W
Laurel, MS 39443-7845

Phone

(504) 224-7651

Fax

(601) 729-9002

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeffcare

  • Federally Qualified Health Center (FQHC)
  • Metairie, LA
  • NPI 1518383785
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1972676963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SCR 3",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391685066",
            "telephone_number": "504-648-7036",
            "fax_number": "601-729-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HIGHWAY 28 W",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394437845",
            "telephone_number": "504-224-7651",
            "fax_number": "601-729-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MS",
            "postal_code": "394372400",
            "country_code": "US",
            "telephone_number": "504-224-7651",
            "fax_number": "601-729-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Scr 3",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "MS",
            "postal_code": "391685066",
            "country_code": "US",
            "telephone_number": "504-224-7651",
            "fax_number": "601-729-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3631 Constance St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701152515",
            "country_code": "US",
            "telephone_number": "504-648-7036",
            "fax_number": "601-729-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "SHANNON",
        "middle_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19687",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3254",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175767601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Strong, LMSW
• Lakin Sellers Sullivan, FNP-C
• William David Sullivan, M.D.
• Chrystal A Sumrall, MD
• Larry Sumrall, DDS
• Sonya Sumrall, LPC
• Mary Morgan Surrett
• Greta Swan, RN
• April Swancey
• Muneeba Syed, M.D.

• Professional Counselor in Laurel, MS
• Providers in Laurel, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.