Shantel Mitchell-Cooley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5827 Issued in OK

Practice address

3441 W Memorial Rd Ste 5
Oklahoma City, OK 73134-7000

Phone

(405) 415-4182

Fax

(405) 415-4182

NPI assigned

Oct 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Generations Psychology and Counseling LLCGroup PAC ID 4284994146, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Generations Psychology and Counseling, LLC

  • Clinical Psychologist
  • Oklahoma City, OK
  • NPI 1285142992
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1255616264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W MEMORIAL RD STE 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347000",
            "telephone_number": "405-415-4182",
            "fax_number": "405-415-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W MEMORIAL RD STE 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347000",
            "telephone_number": "405-415-4182",
            "fax_number": "405-415-4182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5908 W Hefner Rd Ste S",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731624948",
            "country_code": "US",
            "telephone_number": "405-415-4182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 English Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874028303",
            "country_code": "US",
            "telephone_number": "505-564-9873",
            "fax_number": "505-325-7925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5912 W Hefner Rd Ste S",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731624946",
            "country_code": "US",
            "telephone_number": "405-659-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL-COOLEY",
        "first_name": "SHANTEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016026",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Treatment Centers, Inc.
• Holly Michelle Mistler, L.D.
• Amit M Mistry, M.D.
• Rohit Mital
• Daryanna Mitchell- Evans
• Alondra Julian Mitchell
• Andrea Danielle Mitchell
• Annaleise Mitchell, M.S.
• Blake Thomas Mitchell, PA-C
• Bradley Scott Mitchell, DDS

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.

Verify at the official NPI Registry.