Individual provider Active NPI

Kimberly Shanique Franklin Shoals, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1255644522
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2664 Issued in OK
Practice address
214 SW 30TH St
Oklahoma City, OK 73109-6506
Phone
(405) 272-1610
Fax
(405) 272-1630
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2664 OK Primary

Addresses

Primary practice location

214 SW 30TH St
Oklahoma City, OK 73109-6506

Mailing address

1129 N Harvard Ave
Oklahoma City, OK 73127-4021
Phone (405) 272-1610

Other names 1

  • Kim Shanique Franklin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2664OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Residential Home Care Past Accepting new patients
Options Unlimited Past Accepting new patients

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1255644522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N HARVARD AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731274021",
            "telephone_number": "405-272-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731096506",
            "telephone_number": "405-272-1610",
            "fax_number": "405-272-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN SHOALS",
        "first_name": "KIMBERLY",
        "middle_name": "SHANIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "FRANKLIN",
            "middle_name": "SHANIQUE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.