Organization Active NPI

Scissortail Therapy Collective, PLLC

  • Marriage & Family Therapist
  • Shawnee, OK
National Provider Identifier
1427989029
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SCISSORTAIL THERAPY COLLECTIVE, PLLC
Practice address
23 E 9TH St Ste 319
Shawnee, OK 74801-6962
Phone
(405) 240-9822
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mr. Mitchell Gene Deshazer, LMFTNPI 1700303575
Title
Owner/Therapist
Phone
(405) 240-9822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

23 E 9TH St Ste 319
Shawnee, OK 74801-6962

Mailing address

23 E 9TH St Ste 319
Shawnee, OK 74801-6962
Phone (405) 240-9822

National Provider Directory

National Provider Directory

Locations

23 E 9th St
Ste 319
Shawnee, OK 74801

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": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1427989029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E 9TH ST STE 319",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016962",
            "telephone_number": "405-240-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E 9TH ST STE 319",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016962",
            "telephone_number": "405-240-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCISSORTAIL THERAPY COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "DESHAZER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "405-240-9822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.