Active NPI
Shayanna Espinosa, LPC
- Counselor
- Oklahoma City, OK
National Provider Identifier
1093072159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6803 S Western Ave
Oklahoma City, OK 73139 - Phone
- (405) 641-2639
- NPI assigned
- Apr 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6803 S Western Ave
Oklahoma City, OK 73139
Mailing address
404 N Morgan Dr
Moore, OK 73160-6947
Phone (405) 641-2639
Other practice location 1
404 N Morgan Dr
Moore, OK 73160-6947
Phone (405) 641-2639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200464560A | Medicaid | OK | |
| 200464560B | Medicaid | OK |
Other names 1
- Shayanna Trimble
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Solutions of Oklahoma, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Moore, OK
- NPI 1659855278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1093072159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N MORGAN DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731606947",
"telephone_number": "405-641-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6803 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73139",
"telephone_number": "405-641-2639"
}
],
"practiceLocations": [
{
"address_1": "404 N Morgan Dr",
"address_purpose": "LOCATION",
"city": "Moore",
"state": "OK",
"postal_code": "731606947",
"country_code": "US",
"telephone_number": "405-641-2639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPINOSA",
"first_name": "SHAYANNA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"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": "200464560A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200464560B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAYANNA",
"last_name": "TRIMBLE",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.