Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Freeman

Individual provider Counselor · NPI 1144879404

Shannon Freeman is a Mental Health Counselor in Texarkana, Arkansas. Qualified in 2019, 7 years ago. Practices with Western Arkansas Counseling and Guidance Center, Inc, a 64-clinician group. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4077 Jefferson Ave
Texarkana, AR 71854-1509
Phone: (870) 330-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2106003 (AR)
Counselor Taxonomy 101Y00000X · Licence A1908021 (AR)

Record details

NPI number1144879404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing addressPo Box 1326, Marshall, TX 75671-1326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Western Arkansas Counseling And Guidance Center, Inc — 64 clinicians
Accepts Medicare assignment Not indicated

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