Active NPI
Shaunna Machtolff
- Mental Health Counselor
- Guthrie, OK
National Provider Identifier
1891960324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 3181
- Practice address
- 1923 S Division
Northwest Center for Behavioral Health
Guthrie, OK 73044 - Phone
- (405) 282-1830
- Fax
- (405) 282-1861
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 3181 | OK | Primary |
Addresses
Primary practice location
1923 S Division
Northwest Center for Behavioral Health
Guthrie, OK 73044
Mailing address
1222 10TH Street, Suite 211
Northwest Center for Behavioral Health
Woodward, OK 73801
Phone (405) 282-1830
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 3181 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Guthrie, OK
- NPI 1326111535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1891960324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 10TH STREET, SUITE 211",
"address_2": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH",
"city": "WOODWARD",
"state": "OK",
"postal_code": "73801",
"telephone_number": "405-282-1830",
"fax_number": "405-282-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S DIVISION",
"address_2": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "73044",
"telephone_number": "405-282-1830",
"fax_number": "405-282-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHTOLFF",
"first_name": "SHAUNNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "LPC 3181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.