Active NPI
Brooke Elizabeth Shattuck, LPC
- Professional Counselor
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10287
- Practice address
- 909 Alameda St
Norman, OK 73071-5229 - Phone
- (405) 360-5100
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 10287 | OK | Primary |
Addresses
Primary practice location
909 Alameda St
Norman, OK 73071-5229
Mailing address
PO Box 400
Norman, OK 73070-0400
Phone (405) 360-5100
Other practice location 1
217 S Main St
Lindsay, OK 73052-5633
Phone (405) 756-1414
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 Alameda St
Norman, OK 73071-5229
Phone (405) 360-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Medical and Resource Center Inc. | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients |
Locations
216 S Main St
Lindsay, OK 73052
Phone (405) 756-4303
217 S Main St
Lindsay, OK 73052
Phone (405) 956-3356
909 Alameda St
Norman, OK 73071
Phone (405) 573-3812
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- Federally Qualified Health Center (FQHC)
- Lindsay, OK
- NPI 1366585564
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1245800150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "NORMAN",
"state": "OK",
"postal_code": "730700400",
"telephone_number": "405-360-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 ALAMEDA ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730715229",
"telephone_number": "405-360-5100"
}
],
"practiceLocations": [
{
"address_1": "217 S Main St",
"address_purpose": "LOCATION",
"city": "Lindsay",
"state": "OK",
"postal_code": "730525633",
"country_code": "US",
"telephone_number": "405-756-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHATTUCK",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "10287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.