Individual provider Active NPI

Melissa Holly Shockley, M.ED

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1023422995
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2607 NW 67TH St
None
Oklahoma City, OK 73116-4703
Phone
(405) 802-1479
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2607 NW 67TH St
None
Oklahoma City, OK 73116-4703

Mailing address

2607 NW 67TH St
None
Oklahoma City, OK 73116-4703
Phone (405) 802-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 9, 2026 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Christian Counseling CurrentSince Feb 8, 2023 Accepting new patients

Locations

14608 Bogert Pkwy
Oklahoma City, OK 73134
Phone (405) 784-6981

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1023422995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 NW 67TH ST",
            "address_2": "NONE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164703",
            "telephone_number": "405-802-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 NW 67TH ST",
            "address_2": "NONE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164703",
            "telephone_number": "405-802-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MELISSA",
        "middle_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.