SHANNON TREAT (NPI# 1053557736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053557736 |
| Entity Type | Individual |
| Full Name | SHANNON TREAT |
| Credential | MS |
| Practice Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 00043914 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CRC 00043914 | 00043914 | 01 |
| Street Address |
1001 N COUNTRY CLUB RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408928 | Clint Forrest | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2005-12-22 |
| 1184940926 | Bobby Saunkeah | Registered Nurse | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2010-04-19 |
| 1689810376 | Linda Lewis | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1558507244 | Joan Garvin | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1487899704 | Lesli Barrett | Physical Medicine & Rehabilitation | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-16 |
| 1770788408 | Lyn Page | Dentist | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-06-21 |
| 1164641825 | Jenny Simon | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-04-24 |
| 1992839211 | Melissa Gayle Vavricka-conaway | Dietitian, Registered | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-16 |
| 1578627824 | Troy Caldwell | Anesthesiology | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-21 |
| 1467513135 | Jang Kim | Radiology | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548720 | Christopher Klein | Counselor | Christopher Klein, 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-11-03 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1750738621 | Carissa O'dell | Counselor | 14121 County Road 3590, Ada, OK 74820-5327 | 2016-05-19 |
| 1831556091 | Mario Gibson Franciscotty | Counselor | 6200 Egypt Valley Ct Ne, Ada, MI 49301-9660 | 2016-01-19 |
| 1154786176 | Toni Chappell | Counselor | 526 N New Bethel Blvd, Ada, OK 74820-0311 | 2015-12-17 |
| 1518372929 | Stacy Carol Prewitt | Counselor | 1300 Hoppe Blvd Ste 6, Ada, OK 74820-2319 | 2014-06-24 |
| 1003245382 | Sydney Caitlin Manning | Counselor | 329 W 1st St, Ada, OK 74820 | 2013-11-06 |
| 1104195296 | Carmaleta S Mcquay | Counselor | 126 N Oak Ave, Ada, OK 74820-4851 | 2011-12-20 |
| 1609156124 | Troy K Gould | Counselor | 324 Se County Rd, Ada, OK 74820-7207 | 2011-08-29 |
| 1710280698 | Lisa John | Counselor | 124 S Broadway Ave Ste 200, Ada, OK 74820-5825 | 2010-12-14 |
| Find all providers in ADA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.