Susan Leigh Mustafina, M.ED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

905 E Wilson St
Shawnee, OK 74804-4165

Phone

(405) 214-0116

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Focus Mental Health Services, LLCGroup PAC ID 9739420019, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• Focus Mental Health Services, LLC

  • Mental Health Counselor
  • Shawnee, OK
  • NPI 1851658959
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1689952129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33007 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043429",
            "telephone_number": "405-395-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E WILSON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044165",
            "telephone_number": "405-214-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFINA",
        "first_name": "SUSAN",
        "middle_name": "LEIGH",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200362320B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mullasseril PC
• Anaita Nalladaru Mullasseril, B.D.S., M.S.
• Christine Rose Munoz, APRN
• Tomi Kae Murdock
• Nikita Travis Muse
• Craig Myers, BC-HIS
• N & R Shawnee LLC
• Munisha Nanda
• Donna Nash, NURSEAIDE
• Cary Douglas Nation, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.

Verify at the official NPI Registry.