Individual provider Active NPI

Jeffrey Shelton

  • Counselor
  • Enid, OK
National Provider Identifier
1700516911
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
302 N Independence St Ste 408
Enid, OK 73701-4097
Phone
(580) 634-3317
Fax
(580) 565-1019
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X OK Primary

Addresses

Primary practice location

302 N Independence St Ste 408
Enid, OK 73701-4097

Mailing address

2701 W University Blvd
Durant, OK 74701-2997
Phone (580) 740-4053

Other practice location 1

2701 W University Blvd
Durant, OK 74701-2997
Phone (580) 740-4053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Advisors LLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1700516911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012997",
            "telephone_number": "580-740-4053",
            "fax_number": "877-725-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N INDEPENDENCE ST STE 408",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014097",
            "telephone_number": "580-634-3317",
            "fax_number": "580-565-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 W UNIVERSITY BLVD",
            "address_purpose": "LOCATION",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012997",
            "country_code": "US",
            "telephone_number": "580-740-4053",
            "fax_number": "877-725-8976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.