Generations Psychology and Counseling, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GENERATIONS PSYCHOLOGY AND COUNSELING, LLC

Doing business as

Shantel Mitchell-Cooley, LCSW

Practice address

5912 W Hefner Rd Ste S
Oklahoma City, OK 73162-4946

Phone

(405) 659-2403

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Shantel Mitchell-Cooley, LCSWNPI 1255616264

Title

LCSW

Phone

(405) 659-2403

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Shantel Mitchell-Cooley, LCSW Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shantel Mitchell-Cooley, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1255616264
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Ann Geatches, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1336574334
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1285142992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720954",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731720954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 W HEFNER RD STE S",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624946",
            "telephone_number": "405-659-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS PSYCHOLOGY AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL-COOLEY",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "405-659-2403",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1290",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "1290",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER LICENSE",
            "identifier": "5827",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shantel Mitchell-Cooley, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shantel Mitchell-Cooley, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.