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DEENA ANN SHAW LPC
NPI 1497095954
Counselor - Mental Health in Wynne, AR

Active since February 20, 2013PECOS Enrolled
204 MISSISSIPPI ST S, WYNNE, AR 72396(870) 208-8499(870) 208-8044 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deena Ann Shaw Lpc NPPES

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

DEENA ANN SHAW LPC (NPI 1497095954) is an individual mental health provider in Wynne, Arkansas, licensed in Arkansas (A1005061) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497095954
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEENA ANN SHAWCredential: LPC
Location Address204 MISSISSIPPI ST SWynne, AR 72396-3025
Mailing Address204 Mississippi St SWynne, AR 72396-3025 · (870) 208-8499
Phone(870) 208-8499
Fax(870) 208-8044
Sole ProprietorYes
Enumeration DateFebruary 20, 2013
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1497095954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A1005061
204 MISSISSIPPI ST S, Wynne, AR 72396
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deena Ann Shaw Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Deena Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changes Behavioral Health, LLC
Same address
Community/Behavioral Health
204 MISSISSIPPI ST S
Wynne, AR 72396
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1114260486 (870) 208-8499

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 20

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

KRISTIN HALLMARK
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
KAYLA GATES
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
ALLIE TRAIL
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
CHANGES BEHAVIORAL HEALTH, LLC
Community/Behavioral Health
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
RYLEE RATTON LCSW
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
TABATHA BRADLEY LAC
Counselor (Professional)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LISA TURNER
Counselor (Mental Health)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LESLIE D TINZIE
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499

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 Deena Shaw's NPI number?

The NPI number for Deena Shaw is 1497095954. It was assigned to this individual provider in the NPPES registry on February 20, 2013.

Where is Deena Shaw located?

Deena Shaw practices at 204 Mississippi St S, Wynne, AR 72396. The listed phone number is (870) 208-8499.

What is Deena Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Deena Shaw enrolled in Medicare?

Yes. Deena Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deena Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deena Shaw reassigns Medicare benefits to Changes Behavioral Health, LLC (Wynne, 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 Deena Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deena Shaw accept?

Health plans from Health Advantage and Octave list Deena Shaw 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 Deena Shaw was last updated on January 9, 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.