Individual provider Active NPI

James Kent Shirley, LPC

  • Counselor
  • Edmond, OK
National Provider Identifier
1538306576
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1763 W. 33Rd Road, Suite 110
1763 W. 33Rd Road, Suite 110
Edmond, OK 73013-3870
Phone
(405) 558-1214
Fax
(405) 757-0479
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1763 W. 33Rd Road, Suite 110
1763 W. 33Rd Road, Suite 110
Edmond, OK 73013-3870

Mailing address

1763 W. 33Rd Road, Suite 110
1763 W. 33Rd Road, Suite 110
Edmond, OK 73013-3870
Phone (405) 558-1214

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Shirley LPC Counselor CurrentSince Aug 17, 2025 Accepting new patients
Creoks Mental Health Services, Inc Past Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1538306576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 W. 33RD ROAD, SUITE 110",
            "address_2": "1763 W. 33RD ROAD, SUITE 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 ROAD, SUITE 110",
            "address_2": "1763 W. 33RD ROAD, SUITE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133870",
            "telephone_number": "405-558-1214",
            "fax_number": "405-757-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "JAMES",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_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 Sep 16, 2024; 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.