Individual provider Active NPI

Erika Allison Davis Shade, MCMHC, LPC

  • Counselor
  • Edmond, OK
National Provider Identifier
1194201806
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1700 S Boulevard Ste B
Edmond, OK 73013-5174
Phone
(405) 215-9151
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1700 S Boulevard Ste B
Edmond, OK 73013-5174

Mailing address

9620 SW 25TH St
Oklahoma City, OK 73128-4961
Phone (918) 219-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20250714001068 DE Practitioner - Mental Health Counselor 7719492396

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 College Park Dr
Suite 203
Dover, DE 19904-8727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Physiatry CurrentSince Jun 1, 2025 Accepting new patients
T.E.S.S. Counseling Past Accepting new patients

Locations

1221 College Park Dr
Ste 203
Dover, DE 19904
Phone (302) 387-1407

79 Omega Dr
#C
Newark, DE 19713
Phone (302) 387-1407

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1194201806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 SW 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731284961",
            "telephone_number": "918-219-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BOULEVARD STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135174",
            "telephone_number": "405-215-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS SHADE",
        "first_name": "ERIKA",
        "middle_name": "ALLISON",
        "credential": "MCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.