Active NPI
Christy Dawn Sheppard, LPC
- Counselor
- Ada, OK
National Provider Identifier
1174772115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 708 E. Main
Suite B
Ada, OK 74820 - Phone
- (580) 436-6531
- NPI assigned
- Sep 15, 2008
- 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
708 E. Main
Suite B
Ada, OK 74820
Mailing address
13598 CR 3520
Ada, OK 74820
Phone (580) 421-5754
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1174772115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13598 CR 3520",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-421-5754",
"fax_number": "580-456-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E. MAIN",
"address_2": "SUITE B",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "CHRISTY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.