Deborah L Sharp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11871 Issued in OK

Practice address

624 W Independence St Ste 105
Shawnee, OK 74804-4329

Phone

(405) 434-2301

NPI assigned

Apr 17, 2018

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Quest Mhsa

  • Community/Behavioral Health Agency
  • Antlers, OK
  • NPI 1174776819
  Medicare reassignment NPD

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1053808923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 N AYDELOTTE AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041620",
            "telephone_number": "405-434-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W INDEPENDENCE ST STE 105",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044329",
            "telephone_number": "405-434-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "11871",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
• Seminole Hma LLC (AllianceHealth Clinic Shawnee)
• Kassi Ann Sexton, M.D.
• Shelby Shackelford
• Victoria Shanks, CM II
• Shawnee Care Center LLC (Shawnee Care Center)
• Shawnee Dental, PLLC
• Shawnee Dentistry and Braces
• Shawnee Discount Drug
• Shawnee Eye Associates, PLLC (Shawnee Vision Source)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.