Active NPI
Melissa Holly Shockley, M.ED
- Counselor
- Oklahoma City, OK
National Provider Identifier
1023422995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Christian Counseling | Current | 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.
-
- Mental Health Counselor
- Oklahoma City, OK
- NPI 1205532322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.