Mr Shannon Larry Sumrall, LPC in Laurel, MS - Medicare Counselor Provider

Mr Shannon Larry Sumrall, LPC is a medicare enrolled "Counselor - Professional" provider in Laurel, Mississippi. His current practice location is 234 Highway 28 W, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (504) 224-7651.

Mr Shannon Larry Sumrall is licensed to practice in Louisiana (license number 3109) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972676963.

Contact Information

	Mr Shannon Larry Sumrall, LPC
	234 Highway 28 W, Laurel, MS 39443-7845
	(504) 224-7651
	(601) 729-9002

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Shannon Larry Sumrall
Gender	Male
Speciality	Counselor - Professional
Location	234 Highway 28 W, Laurel, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972676963
Provider Enumeration Date: 11/16/2006
Last Update Date: 04/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7719105311
Enrollment ID: I20240320003834

Medical Identifiers

Medical identifiers for Mr Shannon Larry Sumrall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972676963	NPI	-	NPPES
175767601	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	19687 (Texas)	Secondary
101YP2500X	Counselor - Professional	3254 (Mississippi)	Secondary
101YP2500X	Counselor - Professional	3109 (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shannon Larry Sumrall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Shannon Larry Sumrall, LPC 861 Scr 3, Taylorsville, MS 39168-5066 Ph: (504) 648-7036	Mr Shannon Larry Sumrall, LPC 234 Highway 28 W, Laurel, MS 39443-7845 Ph: (504) 224-7651

Reviews and Comments

Counselor in Laurel, MS

Claudia Jones, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 West Dr, Laurel, MS 39440 Phone: 601-426-7520
Ms. Isis Monique Page, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215
Akella White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1721 W 10th St, Laurel, MS 39440 Phone: 601-425-9322
Makinley Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 Fax: 601-342-8210
Stephanie Lindsey, LCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 N 6th Ave, Laurel, MS 39440 Phone: 601-705-1901
Jasmine Kinchen, IDD SERVICES Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 West Dr, Laurel, MS 39440 Phone: 601-426-7520
Jessica Bayless, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 Fax: 601-342-8210

Mr Shannon Larry Sumrall, LPC - Medicare Counselor in Laurel, MS