Individual provider Active NPI

Shawn Alyea

  • Professional Counselor
National Provider Identifier
1679893028
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2201 Issued in OK
Practice address
2701 W University Blvd
Durant, OKLAHOMA 74701
UM
Phone
(918) 720-6629
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2201 OK Primary

Addresses

Primary practice location

2701 W University Blvd
Durant, OKLAHOMA 74701
UM

Mailing address

2701 W University Blvd
Durant, OKLAHOMA 74701
UM
Phone (918) 720-6629

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711000355 OK Practitioner - Mental Health Counselor 8325553241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

4103 S Yale Ave
Suite B
Tulsa, OK 74135-6002
Phone (918) 382-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emh1 LLC CurrentSince Jan 16, 2026 Accepting new patients
Prophylaxis Healthcare LLC CurrentSince Jul 1, 2025 Accepting new patients
Prophylaxis Healthcare LLC CurrentSince Jul 1, 2025 Accepting new patients
Heart of Christ Counseling, LLC Past Accepting new patients

Locations

11911 S Memorial Dr
Ste 2
Bixby, OK 74008
Phone (918) 943-3790

11911 S Memorial Dr
Bixby, OK 74008
Phone (918) 497-3700

303 E Taft Ave
Ste 3
Sapulpa, OK 74066
Phone (918) 224-2222

7320 S Yale Ave
Ste B
Tulsa, OK 74136
Phone (918) 922-2335

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1679893028",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2701 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OKLAHOMA",
            "postal_code": "74701",
            "telephone_number": "918-720-6629"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "2701 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OKLAHOMA",
            "postal_code": "74701",
            "telephone_number": "918-720-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYEA",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.