SHANNON HENDERSON (NPI# 1194006387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194006387 |
| Entity Type | Individual |
| Full Name | SHANNON HENDERSON |
| Credential | M.S., LPC CANDIDATE |
| Practice Address |
1140 N Hudson Ave Oklahoma City OK 73103-3918 |
| Mailing Address |
6116 N Meridian Ave Apt 602 Oklahoma City OK 73112-1277 |
| Practice Telephone | 4058581700 |
| Mailing Telephone | 9186957853 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740532480 | Shannon Henderson | Nurse Practitioner | 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 | 2012-10-04 |
| 1447803523 | Shannon Henderson | Physical Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2019-07-18 |
| 1083114813 | Shannon Henderson | Behavior Technician | 1353 E Main St, Brownsburg, IN 46112-1433 | 2018-02-19 |
| Street Address |
1140 N HUDSON AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043391675 | Josephine Deguzman | Psychiatry & Neurology | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2006-10-18 |
| 1770130239 | La Luz Organization | Voluntary or Charitable | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2019-08-20 |
| 1497209886 | Christopher Gordon Geis | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2016-08-15 |
| 1720431794 | Rita Cooper-roberts | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2016-07-14 |
| 1427413202 | Melissa Putman | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-12-22 |
| 1720453863 | Brendan Ryan | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-12-01 |
| 1528433661 | Teressa Smith | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-12-01 |
| 1932576915 | Shae Gilbert | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-08-26 |
| 1528442183 | Kelli Simpson | Registered Nurse | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-07-14 |
| 1649652934 | Jordan Fralick | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| 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 |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1215563077 | Beginning Steps | Counselor | 2709 S Magerus St, Oklahoma City, OK 73128-3215 | 2020-03-12 |
| 1932734431 | Debra Lynn Spears | Counselor | 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 | 2020-03-05 |
| 1659905024 | Ramona Martinez | Counselor | 2120 Sw 41st St, Oklahoma City, OK 73119-3614 | 2020-02-25 |
| 1699307058 | Caitlin Cox | Counselor | 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 | 2020-02-04 |
| 1760020283 | Casey Erin Marsh-shaevitz | Counselor | 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 | 2019-12-16 |
| 1255982229 | Kelli P Roland | Counselor | 1808 Ne 11th St, Oklahoma City, OK 73117-3606 | 2019-09-21 |
| 1609423979 | Shelia Macon | Counselor | 3309 Ne 18th St, Oklahoma City, OK 73121-2881 | 2019-08-21 |
| 1184285470 | Andrea Elura Clayton | Counselor | 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 | 2019-06-26 |
| 1578026779 | Jacquelyn Danielle Schoppa | Counselor | 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 | 2019-04-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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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.