1. Home
  2. Directory
  3. Texas
  4. Hallsville
  5. Clinic Center
  6. NPI Profile

SHELLY RICHARDSON
NPI 1891531315
Clinic/Center - Adolescent and Children Mental Health in Hallsville, TX

Active since July 03, 2024PECOS EnrolledAccepts Medicare Assignment
1916 MONT HALL RD, HALLSVILLE, TX 75650(903) 452-3454 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Jul 3, 2024 (2 updates tracked since 2024).

About Shelly Richardson NPPES

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

SHELLY RICHARDSON (NPI 1891531315) is an individual adolescent and children mental health provider in Hallsville, Texas, licensed in Texas (18292) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Longview, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1891531315
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameSHELLY RICHARDSON
Location Address1916 MONT HALL RDHallsville, TX 75650-4424
Mailing Address1916 Mont Hall RdHallsville, TX 75650-4424 · (903) 452-3454
Phone(903) 452-3454
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 3, 2024
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1891531315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in TX · 18292
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 18292 (TX)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
1916 MONT HALL RD, Hallsville, TX 75650
Open in Google Maps ↗

Secondary Practice Location 1

Location 1911 W Loop 281 Ste 316Longview, TX 75604-2930 · Phone (903) 261-5114

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelly Richardson 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 ID8426568593
PECOS Enrollment IDI20250609000177
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

BEYOND THE LABEL SCHOOL PSYCHOLOGY AND COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
1916 MONT HALL RD
HALLSVILLE, TX 75650
Harrison County (903) 452-3454

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 Shelly Richardson's NPI number?

The NPI number for Shelly Richardson is 1891531315. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Shelly Richardson located?

Shelly Richardson practices at 1916 Mont Hall Rd, Hallsville, TX 75650. The listed phone number is (903) 452-3454.

What is Shelly Richardson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Shelly Richardson enrolled in Medicare?

Yes. Shelly Richardson 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.

What insurance does Shelly Richardson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Shelly Richardson 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 Shelly Richardson was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.