Shannon Lynn Scholtz, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1202 SW a Ave
Lawton, OK 73501-3821

Phone

(580) 574-0289

NPI assigned

Jan 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shannon Lynn Deoca Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Roadback Incorporated

  • Substance Abuse Rehabilitation Facility
  • Lawton, OK
  • NPI 1467470310
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1619215746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013821",
            "telephone_number": "580-574-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013821",
            "telephone_number": "580-574-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTZ",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DEOCA",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Scheurer, RN
• Jonathan Schlieper, LMFT
• Anna Schmidt
• Kourtney Kay Schmidt, DPT
• Mary M. Schofield-Dixon
• Jessica Schott
• Amanda Schroeder
• Rikki Schumann
• Lindsey S Schumpert
• George F Schutz, MD

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.