PSYCHOLOGY & COUNSELING ASSOCIATES
NPI 1205976099
Psychologist - Clinical in Fayetteville, AR
About Psychology & Counseling Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSYCHOLOGY & COUNSELING ASSOCIATES (NPI 1205976099) is a healthcare organization registered as a clinical in Fayetteville, Arkansas and active in the NPI registry since February 2007. The organization lists Lavonna M Latta, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Psychology & Counseling Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Psychology & Counseling Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Susan L Shackelford, Phd & Associates, PA's NPI number?
The NPI number for Susan L Shackelford, Phd & Associates, PA is 1205976099. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Psychology & Counseling Associates.
Where is Susan L Shackelford, Phd & Associates, PA located?
Susan L Shackelford, Phd & Associates, PA is located at 1 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 443-5575.
What is Susan L Shackelford, Phd & Associates, PA's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Susan L Shackelford, Phd & Associates, PA enrolled in Medicare?
Yes. Susan L Shackelford, Phd & Associates, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Susan L Shackelford, Phd & Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Susan L Shackelford, Phd & Associates, PA, in Clinical Psychologist and Clinical Social Worker. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Susan L Shackelford, Phd & Associates, PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Susan L Shackelford, Phd & Associates, PA 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 Susan L Shackelford, Phd & Associates, PA was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Psychology & Counseling Associates · NPI 1205976099
Clinical organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1205976099 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Legal business name:** Susan L Shackelford, Phd & Associates, Pa
- **Organization subpart:** No
- **Authorized official:** Lavonna Latta, OFFICE MANAGER
## Practice location
- **Address:** 1 W SUNBRIDGE DR, Fayetteville, AR 72703-1825
- **Phone:** (479) 443-5575 · **Fax:** (479) 443-9554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Clinical Social Worker (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2011
- **Other identifiers:** Other 5T520 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1205976099) · Data from the CMS NPPES public registry.