Individual provider Active NPI

Ce'Gon Shoeleh

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Catoosa, OK
National Provider Identifier
1982515557
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
19320 E Admiral PL Ste B
Catoosa, OK 74015-3240
Phone
(949) 629-5131
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OK Primary

Addresses

Primary practice location

19320 E Admiral PL Ste B
Catoosa, OK 74015-3240

Mailing address

4405 W 4TH St
Skiatook, OK 74070-6136
Phone (949) 629-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1982515557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W 4TH ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740706136",
            "telephone_number": "949-629-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL STE B",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153240",
            "telephone_number": "949-629-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOELEH",
        "first_name": "CE'GON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.