Madison McKenzie Shoemaker, LPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12074 Issued in OK

Practice address

1620 E 12TH St
Tulsa, OK 74120-5407

Phone

(918) 588-8888

NPI assigned

Mar 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1619736402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 BOSTON ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016724",
            "telephone_number": "918-360-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 12TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205407",
            "telephone_number": "918-588-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "MADISON",
        "middle_name": "MCKENZIE",
        "credential": "LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "12074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheroka Shoats-Adkins, LPN
• Ke'Jaunde Shoats, LPN
• Jack Lowell Shobe
• Blake E Shockley, MD
• Blake Jeffrey Shockley
• Mandy Christine Shoemaker
• Stephen Forrest Shoemaker, PH.D.
• Tiffany Renee Shoemaker, LPC/US
• Ofira Shoham
• David S Sholl, MD

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, 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 Mar 15, 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.