Charles Shawn Oak, PHD, LMFT, LSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104010 Issued in KY

Practice address

2210 Goldsmith LN Ste 104
Louisville, KY 40218-1038

Phone

(502) 792-0667

Fax

(502) 416-0467

NPI assigned

Feb 27, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Oak & Associates, LLC

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1487957130

  Social Worker

  NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861529141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 AUDUBON RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131022",
            "telephone_number": "502-594-2829",
            "fax_number": "502-416-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-792-0667",
            "fax_number": "502-416-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Eastern Pkwy",
            "address_2": "Suite 3364",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171417",
            "country_code": "US",
            "telephone_number": "502-528-8445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAK",
        "first_name": "CHARLES",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006299A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001769A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "104010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100320890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby O'Sullivan, PTA
• Oak & Associates, LLC
• Oak Drug Inc (Oak Drug)
• Oak Street Health Physicians Group of Kentucky, PLLC
• Oak Tree Dental PLLC (Revitalize Dental)
• Dawn L Oak
• Devin Oak
• Michelle Ivy Oak, LMFT
• Chelsey Leigh Oakes, CRNA
• Oaklawn Development Operations, LLC (Elmcroft at Oaklawn)

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.