SHANNON FREEMAN
NPI 1144879404
Counselor - Professional in Texarkana, AR
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Freeman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Freeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mena, AR 71953
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Western Arkansas Counseling & Guidance Center, Inc
- 76 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TEXARKANA, AR 71854
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.
Which organization bills Medicare for Shannon Freeman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Freeman reassigns Medicare benefits to The Guidance Center - Mena Clinic (Mena, AR). The 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 Shannon Freeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Shannon Freeman · NPI 1144879404
Professional provider in Texarkana, Arkansas. Individual provider, active in the CMS NPPES registry since September 10, 2019.
## Identity
- **NPI:** 1144879404 (Entity type: Individual)
- **Enumerated:** September 10, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2106003 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4077 JEFFERSON AVE, Texarkana, AR 71854-1509
- **Phone:** (870) 330-9200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Guidance Center - Mena Clinic (NPI 1356516579, Mena, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144879404) · Data from the CMS NPPES public registry.