Organization Active NPI

Kent Shirley LPC

  • Counselor
  • Edmond, OK
National Provider Identifier
1336022656
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KENT SHIRLEY LPC
Practice address
1763 W 33Rd St Ste 110
Edmond, OK 73013-3870
Phone
(405) 558-1214
Fax
(405) 757-0479
NPI assigned
Jul 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Authorized official

Name
Yolanda Jay
Title
Billing & Credentialing Admin
Phone
(405) 906-0275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1763 W 33Rd St Ste 110
Edmond, OK 73013-3870

Mailing address

1763 W 33Rd St Ste 110
Edmond, OK 73013-3870
Phone (405) 558-1214

National Provider Directory

National Provider Directory

Locations

1763 W 33rd St
Ste 110
Edmond, OK 73013
Phone (405) 558-1214

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1336022656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 W 33RD ST STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133870",
            "telephone_number": "405-558-1214",
            "fax_number": "405-757-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 W 33RD ST STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133870",
            "telephone_number": "405-558-1214",
            "fax_number": "405-757-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT SHIRLEY LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING ADMIN",
        "authorized_official_telephone_number": "405-906-0275"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.