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SHANNON GACHOT-RIDGLEY LAC
NPI 1881138550
Counselor - Professional in Benton, AR

Active since December 14, 2016PECOS EnrolledAccepts Medicare Assignment
205 SOUTH STREET SUITE 3, BENTON, AR 72015(501) 575-3261(501) 778-5049 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Apr 6, 2020, Jul 22, 2019 and 1 more (4 updates tracked since 2016).

About Shannon Gachot-ridgley Lac NPPES

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

SHANNON GACHOT-RIDGLEY LAC (NPI 1881138550) is an individual professional provider in Benton, Arkansas, licensed in Arkansas (P2007049) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hot Springs, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881138550
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON GACHOT-RIDGLEYCredential: LAC
Location Address205 SOUTH STREET SUITE 3Benton, AR 72015
Mailing Address3517 Stivers BlvdBryant, AR 72022-9019 · (501) 326-7955 · Fax (501) 778-5049
Phone(501) 575-3261
Fax(501) 778-5049
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 14, 2016
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1881138550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in AR · P2007049✔ Licensed in AR · A1808110
205 SOUTH STREET SUITE 3, Benton, AR 72015
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Secondary Practice Location 1

Location 1216 McAuley CtHot Springs, AR 71913-6312 · Phone (501) 622-2531 · Fax (501) 620-4595

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 and accepts Medicare assignment

Shannon Gachot-ridgley Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991205742
PECOS Enrollment IDI20250826000353
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 Shannon Gachot-ridgley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Baptist Children's Homes And Family Ministries
17 mi
Mental Health
9701 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 36 clinicians in this Medicare group
NPI 1972159267 (501) 737-4320

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 Shannon Gachot-ridgley's NPI number?

The NPI number for Shannon Gachot-ridgley is 1881138550. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Where is Shannon Gachot-ridgley located?

Shannon Gachot-ridgley practices at 205 South Street Suite 3, Benton, AR 72015. The listed phone number is (501) 575-3261.

What is Shannon Gachot-ridgley's specialty?

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

Is Shannon Gachot-ridgley enrolled in Medicare?

Yes. Shannon Gachot-ridgley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Gachot-ridgley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Gachot-ridgley reassigns Medicare benefits to Arkansas Baptist Children's Homes And Family Ministries (Little Rock, 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 Gachot-ridgley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Gachot-ridgley accept?

Health plans from Health Advantage and Octave list Shannon Gachot-ridgley 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 Gachot-ridgley was last updated on October 3, 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.