Monica Pacheco

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

429 N Union Ave
Shawnee, OK 74801-7019

Phone

(405) 275-1844

Fax

(405) 275-1124

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Central Medical and Resource Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lindsay, OK
  • NPI 1366585564
  Medicare reassignment NPD
• Creoks Mental Health Services

  dba TruHealth Integrated Care

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1669024790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 EAGLE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346060",
            "telephone_number": "405-305-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017019",
            "telephone_number": "405-275-1844",
            "fax_number": "405-275-1124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 S Western Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731391712",
            "country_code": "US",
            "telephone_number": "405-634-1497",
            "fax_number": "405-634-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dawn Osife
• Osu Center for Health Sciences (Osu-Aj Southwest Orthopaedic Specialists-Shawnee)
• Jill Kathleen Otto, LPN
• Michele Lynn Owings, MSW
• Oxygen of Oklahoma Inc (Oxygen of Oklahoma)
• Mikayla Paison
• Sabra Palomares, LPN
• Rebekah Joy Parr
• Shelby Janae Parsons, RN
• Joni Pataki, LPN

• Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.