Active NPI
Michelle Davis Gannaway, LPC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1225640337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2837
- Practice address
- 805 NW 72ND St Ste 8
Oklahoma City, OK 73116-7147 - Phone
- (405) 570-4603
- NPI assigned
- Aug 19, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2837 | OK | Primary |
Addresses
Primary practice location
805 NW 72ND St Ste 8
Oklahoma City, OK 73116-7147
Mailing address
3117 York Dr
Edmond, OK 73034-0408
Phone (405) 570-4603
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228000850 | OK | Practitioner - Mental Health Counselor | 4688019821 | Practice locations: Edmond, OK; Oklahoma City, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
805 NW 72ND St
Suite 8
Oklahoma City, OK 73116-7147
Phone (405) 570-4603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2837 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1225640337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 YORK DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730340408",
"telephone_number": "405-570-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 NW 72ND ST STE 8",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167147",
"telephone_number": "405-570-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNAWAY",
"first_name": "MICHELLE",
"middle_name": "DAVIS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 30, 2026; 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.