Active NPI
Cleatta Shumate-Johnson, M.ED., LPC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1598702987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2503
- Practice address
- 3311 E 46TH St
Tulsa, OK 74135-2903 - Phone
- (918) 747-8282
- Fax
- (918) 747-6601
- NPI assigned
- Jun 2, 2006
- 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 | 2503 | OK | Primary |
Addresses
Primary practice location
3311 E 46TH St
Tulsa, OK 74135-2903
Mailing address
2140 N Waco Ave
Tulsa, OK 74127-2221
Phone (918) 587-8916
Other names 1
- Prof. Cleatta Shumate
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2503 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1598702987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 N WACO AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741272221",
"telephone_number": "918-587-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 E 46TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352903",
"telephone_number": "918-747-8282",
"fax_number": "918-747-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMATE-JOHNSON",
"first_name": "CLEATTA",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLEATTA",
"last_name": "SHUMATE",
"prefix": "PROF.",
"credential": "M.ED., LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.