Active NPI
Shawn Douglas Roberts, LPC
- Counselor
- Duncan, OK
National Provider Identifier
1629632187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10789
- Practice address
- 2635 W Elk Ave
Duncan, OK 73533-1572 - Phone
- (580) 252-6080
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10789 | OK | Primary |
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
2635 W Elk Ave
Duncan, OK 73533-1572
Mailing address
910 SW E Ave
Lawton, OK 73501-4593
Phone (580) 699-5550
Other practice location 1
951 W Maple Ave
Duncan, OK 73533-4903
Phone (580) 360-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2635 W Elk Ave
Duncan, OK 73533-1572
Phone (580) 252-6080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10789 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan Regional Hospital, Inc | Multi-Specialty | Current | Accepting new patients |
| Duncan Regional Hospital, Inc | Multi-Specialty | Current | Accepting new patients |
| Duncan Regional Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
2515 W Elk Ave
Duncan, OK 73533
Phone (580) 252-6080
2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373
Interoperability endpoints
- shawn.roberts@direct.drhhealth.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Duncan, OK
- NPI 1942918214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1629632187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SW E AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735014593",
"telephone_number": "580-699-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 W ELK AVE",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331572",
"telephone_number": "580-252-6080"
}
],
"practiceLocations": [
{
"address_1": "951 W Maple Ave",
"address_purpose": "LOCATION",
"city": "Duncan",
"state": "OK",
"postal_code": "735334903",
"country_code": "US",
"telephone_number": "580-360-8775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "SHAWN",
"middle_name": "DOUGLAS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "OK",
"license": "10789",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.