Shelly D Kantor, MS, LADC/MH

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1336 Issued in OK

Practice address

1516 N Lynn Riggs Blvd Ste 100
Claremore, OK 74017-3567

Phone

(918) 923-3802

Fax

(918) 923-3801

NPI assigned

Jul 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family and Children'S Services, IncGroup PAC ID 9830170687, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Family & Children'S Services, Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1023122439
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1346680360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE",
            "address_2": "SUITE 215",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365713",
            "telephone_number": "918-492-2554",
            "fax_number": "918-494-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 N LYNN RIGGS BLVD STE 100",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173567",
            "telephone_number": "918-923-3802",
            "fax_number": "918-923-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "SHELLY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS, LADC/MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1336",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Forward Counseling and Consulting
• Charles Judy, COTA/L
• Stephanie Justus, APRN-CNP, FNP-C
• Lena Ellen Kannegiesser
• Mitzy Kantor
• Karen Willhoite, DDS, PLLC
• Lindsey Grace Karp
• Lance Taylor Karpe, PHARMD
• Rachel D Kauffman, BA, CM
• Robin Lee Kave

• Addiction (Substance Use Disorder) Counselor in Claremore, OK
• Providers in Claremore, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.