Active NPI
Shawnda Pauline Kirchmann, L.P.C.
- Counselor
- Grove, OK
National Provider Identifier
1700242591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7705
- Practice address
- 1115 Harbor Rd
Grove, OK 74344-3505 - Phone
- (918) 786-4434
- Fax
- (918) 786-4435
- NPI assigned
- Jan 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 7705 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1115 Harbor Rd
Grove, OK 74344-3505
Mailing address
1115 Harbor Rd
Grove, OK 74344-3505
Phone (918) 786-4434
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Improving Lives Counseling Services, Inc. | Current | Accepting new patients |
Locations
6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1487967444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1700242591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 HARBOR RD",
"city": "GROVE",
"state": "OK",
"postal_code": "743443505",
"telephone_number": "918-786-4434",
"fax_number": "918-786-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 HARBOR RD",
"city": "GROVE",
"state": "OK",
"postal_code": "743443505",
"telephone_number": "918-786-4434",
"fax_number": "918-786-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHMANN",
"first_name": "SHAWNDA",
"middle_name": "PAULINE",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-08",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "7705",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.