WILL SHEPPARD (NPI# 1578969887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578969887 |
| Entity Type | Individual |
| Full Name | WILL SHEPPARD |
| Practice Address |
101 Ne 9th St Moore OK 73160-4703 |
| Practice Telephone | 4058873395 |
| Mailing Telephone | 4058873395 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
101 NE 9TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1447601943 | Allen Ward Sr. | Counselor | 4401 Katie Ridge Dr, Moore, OK 73160-6270 | 2016-06-26 |
| 1093186330 | Hailey Watts | Counselor | 2402 S Santa Fe Ave, 205, Moore, OK 73160-2832 | 2015-10-13 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| 1164819371 | Prosper Gasu | Counselor | 3301 Ashton Dr, Moore, OK 73160-0609 | 2015-04-26 |
| 1043613672 | The Therapy Group | Counselor | 2119 Riverwalk Dr # 173, Moore, OK 73160-2700 | 2014-09-26 |
| 1053712885 | Tawatha Dominique Jones | Counselor | 721 Nw 20th St, Moore, OK 73160-3405 | 2014-09-11 |
| 1164848511 | Evelyn Denise Sanders | Counselor | 2601 Se 94th Cir, Moore, OK 73160-9128 | 2014-03-10 |
| 1417371444 | Ebony Shirley | Counselor | 1505 Ne 3rd St, Moore, OK 73160-7811 | 2014-02-11 |
| 1730503806 | Lori King | Counselor | 2729 Se 95th St, Moore, OK 73160-9156 | 2014-02-10 |
| 1851720817 | Velina Lanett Davenport | Counselor | 3308 Elmo Way, Moore, OK 73160-2380 | 2013-11-09 |
| Find all providers in MOORE | ||||
Please comment or provide details below to improve the information on WILL SHEPPARD.
| 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.