Active NPI
Shelley L Madden, M.S.C.P.
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1326285974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4112
- Practice address
- 416 SW 79TH St
Oklahoma City, OK 73139-8121 - Phone
- (405) 246-5433
- NPI assigned
- Jan 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 4112 | OK | Primary |
Addresses
Primary practice location
416 SW 79TH St
Oklahoma City, OK 73139-8121
Mailing address
13209 Eastvalley Rd
Oklahoma City, OK 73170-6833
Phone (405) 250-8897
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4112 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232236800000",
"number": "1326285974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13209 EASTVALLEY RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731706833",
"telephone_number": "405-250-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 SW 79TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731398121",
"telephone_number": "405-246-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "SHELLEY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.S.C.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-18",
"last_updated": "2009-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.