Connie Dockrey

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1605 N Harrison St # 1605
Shawnee, OK 74804-4022

Phone

(405) 481-7187

NPI assigned

Sep 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 5, 2025 through Aug 5, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1033587662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20082 OLD BARN RD",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748735647",
            "telephone_number": "405-250-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N HARRISON ST # 1605",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044022",
            "telephone_number": "405-481-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKREY",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200619400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Diamond, DPH
• Morgan Diaz
• David P Dickerson, D. C.
• Ronald Boe Dillman, LMSW-P
• Khanh Phuong DO, MD
• Dallyn Shea Dooley
• Misty Michelle Douthit, M.ED, LPC
• Jessicca Lynne Downey, LPN
• Alice Kathryn Downing, ATC
• Dr Glenn C Stow PLLC

• Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.