SHANNON FREEMAN
NPI 1144879404
Counselor - Professional in Texarkana, AR

Active since September 10, 2019PECOS Enrolled
4077 JEFFERSON AVE, TEXARKANA, AR 71854(870) 330-9200 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2021, Sep 10, 2019 (2 updates tracked since 2019).

About Shannon Freeman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON FREEMAN (NPI 1144879404) is an individual professional provider in Texarkana, Arkansas, licensed in Arkansas (P2106003) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144879404
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON FREEMAN
Location Address4077 JEFFERSON AVETexarkana, AR 71854-1509
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 10, 2019
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1144879404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P2106003
Also ListedCounselorTaxonomy 101Y00000X · License A1908021 (AR)
4077 JEFFERSON AVE, Texarkana, AR 71854

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Freeman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901240340
PECOS Enrollment IDI20240214000486
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Mental Health)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Nurse Practitioner (Family)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Mental Health)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Clinic/Center (Federally Qualified Health Center (FQHC))
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Nurse Practitioner (Women's Health)
4077 JEFFERSON AVE
TEXARKANA, AR 71854

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 Shannon Freeman's NPI number?

The NPI number for Shannon Freeman is 1144879404. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Shannon Freeman located?

Shannon Freeman practices at 4077 Jefferson Ave, Texarkana, AR 71854. The listed phone number is (870) 330-9200.

What is Shannon Freeman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shannon Freeman enrolled in Medicare?

Yes. Shannon Freeman is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Freeman accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shannon Freeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Freeman was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.