Shiloh Wayne Martin, M.ED. LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4309 Issued in OK

Practice address

14674 S Highway 169
Oologah, OK 74053-3332

Phone

(580) 515-1167

NPI assigned

Aug 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Sub Rosa Mental Services

  • Mental Health Counselor
  • Oologah, OK
  • NPI 1023790896
  NPD Authorized official
• Cordell Counseling LLC

  • Community/Behavioral Health Agency
  • Cordell, OK
  • NPI 1952612129
  NPD (past) Authorized official

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1255588901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14674 S HIGHWAY 169",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740533332",
            "telephone_number": "088-452-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 S HIGHWAY 169",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740533332",
            "telephone_number": "580-515-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHILOH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "M.ED. LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "135786",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Rae Howard, L.AC.
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• Jill Ann Lambert Welch, D.PH.
• Madeline A Lane
• Kelsey Marie Lillard, APRN, CPNP-PC
• Hailey Elisabeth McDaniel Johnson, MSW, LCSW
• Caitlyn McLemore
• Midwest Mobile Radiographics
• Oologah Family Medicine Tana Vogele Aprn-CNP PLLC
• Oologah Pediatric Care PLLC

• Professional Counselor in Oologah, OK
• Providers in Oologah, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.