Onyx Harbor Wellness, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ONYX HARBOR WELLNESS, LLC.

Practice address

8008 Behr Dr
Edmond, OK 73034

Phone

(469) 728-4404

NPI assigned

Jun 9, 2026

Organization subpart

No

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

Authorized official

Name

Shavondria Jacobs, LCSW

Title

Owner

Phone

(469) 728-4404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1720912439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DANFORTH RD UNIT 297",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035006",
            "telephone_number": "469-728-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 BEHR DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "469-728-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX HARBOR WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SHAVONDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-728-4404",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.