Organization Active NPI

Collective Counseling Group, LLC

Doing business as Collective Counseling Group

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1962182568
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLECTIVE COUNSELING GROUP, LLC
Doing business as
Collective Counseling Group
Practice address
5350 S Western Ave Ste 550
Oklahoma City, OK 73109-4538
Phone
(405) 259-6388
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Mrs. Shelly D. McCharen, LMFTNPI 1407112402
Title
Owner
Phone
(405) 259-6388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5350 S Western Ave Ste 550
Oklahoma City, OK 73109-4538

Mailing address

11158 Larkin LN
Midwest City, OK 73130-3824
Phone (808) 352-7595

Other names 1

  • Collective Counseling Group Doing business as

National Provider Directory

National Provider Directory

Locations

5350 S Western Ave
Ste 550
Oklahoma City, OK 73109
Phone (405) 259-6388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1962182568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11158 LARKIN LN",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303824",
            "telephone_number": "808-352-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094538",
            "telephone_number": "405-259-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MCCHAREN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-259-6388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collective Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.