KATHERINE C SHOOK, INC.
NPI 1003680687
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bentonville, AR
About Katherine C Shook, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE C SHOOK, INC. (NPI 1003680687) is a healthcare organization registered as a mental health (including community mental health center) in Bentonville, Arkansas and active in the NPI registry since November 2023. The organization lists Katherine C Shook, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine C Shook, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Katherine C Shook, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katherine C Shook, Inc.'s NPI number?
The NPI number for Katherine C Shook, Inc. is 1003680687. It was assigned to this organization in the NPPES registry on November 14, 2023.
Where is Katherine C Shook, Inc. located?
Katherine C Shook, Inc. is located at 307 SW 18th St Ste 3, Bentonville, AR 72712. The listed phone number is (479) 721-1788.
What is Katherine C Shook, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Katherine C Shook, Inc. enrolled in Medicare?
Yes. Katherine C Shook, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Katherine C Shook, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Katherine C Shook, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Katherine C Shook, Inc. was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katherine C Shook, Inc. · NPI 1003680687
Mental Health (Including Community Mental Health Center) organization in Bentonville, Arkansas. Organization record, active in the CMS NPPES registry since November 14, 2023.
## Identity
- **NPI:** 1003680687 (Entity type: Organization)
- **Enumerated:** November 14, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Katherine Shook, PRESIDENT
## Practice location
- **Address:** 307 SW 18TH ST STE 3, Bentonville, AR 72712-8478
- **Phone:** (479) 721-1788
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003680687) · Data from the CMS NPPES public registry.