Shani Nealy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3433 Cobblestone Dr
Spencer, OK 73084-3257

Phone

(405) 476-2722

Fax

(866) 422-5922

NPI assigned

Nov 2, 2012

Last updated

Aug 25, 2015By the provider in NPPES

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

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

Marriage and Family Therapist

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lanai P, PC

  dba Spring Eternal

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1811238868

  Marriage & Family Therapist

  Medicare reassignment NPD
• Candid Network, Inc.

  • Community/Behavioral Health Agency
  • Spencer, OK
  • NPI 1205430618
  Authorized official Same address or phone

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1720332497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 COBBLESTONE DR",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730843257",
            "telephone_number": "405-476-2722",
            "fax_number": "866-422-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 COBBLESTONE DR",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730843257",
            "telephone_number": "405-476-2722",
            "fax_number": "866-422-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALY",
        "first_name": "SHANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Moore
• Jackie Rena Moore, BHRS
• Ronald Lynn Moore Sr., BEHAVIOR ANALYST
• Tamara Alisha Moore, BEHAVIOR ANALYST
• Luvina Joquieta Mosley, BS
• Sharane Olds
• Terence Olds
• William Oliva, M.D.
• Boderek Osborne
• Zhawntoria S Overstreet

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.