Mitchell Gene Deshazer

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

23 E 9TH St Ste 319
Shawnee, OK 74801-6962

Phone

(405) 240-9370

NPI assigned

Aug 23, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Scissortail Therapy Collective, PLLC

  • Marriage & Family Therapist
  • Shawnee, OK
  • NPI 1427989029
  NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1700303575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E 9TH ST STE 319",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016962",
            "telephone_number": "405-240-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E 9TH ST STE 319",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016962",
            "telephone_number": "405-240-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAZER",
        "first_name": "MITCHELL",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Day
• Trina Decker
• David Delker, LMFT
• Carol Lynn Denslow, MSW
• Whisper Breeze Denton, M.S.
• Carol Ann Diamond, DPH
• Morgan Diaz
• David P Dickerson, D. C.
• Ronald Boe Dillman, LMSW-P
• Khanh Phuong DO, MD

• Marriage & Family Therapist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.