Leonard Shepherd, M.S.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703084481 Issued in MI

Practice address

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077

Phone

(918) 812-6010

NPI assigned

Aug 9, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Improving Lives Counseling Services IncGroup PAC ID 3870818230, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Improving Lives Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1487967444
  Medicare reassignment Care Compare group NPD
• Oklahoma Treatment Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1306277082
  NPD
• Sagacity Counseling and Neurotherapeutic Solutions LLC

  • Professional Counselor
  • Muskogee, OK
  • NPI 1467022392
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1003225566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 20",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-276-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-812-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LEONARD",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-09",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L046364",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703084481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200698990 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rowland Shepard
• Shepcole, Inc.
• Desmond L Shepherd, MA, LPC
• Kesha Devonne Shepherd, B.S.
• Larry T Shepherd, D.O.
• Mae Ann Shepherd, LPC, LADC
• Rachelle Shepherd, LMSW
• Sarah Shepherd, D.O.
• Scott Thomas Shepherd, D.O.
• Timothy Shepherd

• Licensed Practical Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.