Coffman 405 Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COFFMAN 405 COUNSELING LLC

Practice address

624 W Independence St Ste 105
Shawnee, OK 74804-4329

Phone

(405) 481-4120

NPI assigned

Jul 4, 2021

Organization subpart

No

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

Authorized official

Name

Shelley L Coffman-Talley, LPCNPI 1427517572

Title

Licenced Professional Counselor

Phone

(405) 201-1722

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley L Coffman-Talley, LPC

  • Mental Health Counselor
  • Shawnee, OK
  • NPI 1427517572
  NPD Authorized official

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1669043311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LAKEVIEW CIR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043021",
            "telephone_number": "405-201-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W INDEPENDENCE ST STE 105",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044329",
            "telephone_number": "405-481-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFMAN 405 COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "COFFMAN-TALLEY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENCED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-201-1722",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicklaus Clifford, D.D.S.
• CMN Enterprises,LLC (Action Limb and Brace)
• Madison Cobb
• Jathan Cole Coburn, PHARM. D.
• Reji Renee Coffey, BHRS
• Shelley L Coffman-Talley, LPC
• Cohesive Family Practice (Cohesive Medical Clinic)
• Cohesive Home Healthcare
• Rachael Cole
• Tyler Cole

• Mental Health Counselor in Shawnee, OK
• Providers in Shawnee, 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 Dec 9, 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.