MR. LARRY SHAVERS (NPI# 1750786216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750786216 |
| Entity Type | Individual |
| Full Name | MR. LARRY SHAVERS |
| Practice Address |
1200 Ne 13th St Oklahoma City OK 73117-1022 |
| Practice Telephone | 4055228145 |
| Mailing Telephone | 4055228145 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1200 NE 13TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322527 | Peggy Louise Jewell | Psychiatry & Neurology | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2006-05-15 |
| 1881206142 | Rozella Marie Murray | Technician, Other | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2020-08-18 |
| 1821619834 | Amanda Kay Holer | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2020-04-30 |
| 1104301563 | Christie Eve Horn | Case Manager/Care Coordinator | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-10-01 |
| 1639658032 | Ophelia Lorene Viezcas | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-08-07 |
| 1245725738 | Shannon D Clymer | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-06-27 |
| 1457886871 | Taft Jackson II | Behavior Technician | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2017-04-23 |
| 1154854743 | Limbusha Fields | Behavior Technician | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2017-04-10 |
| 1104378819 | Canyon Merrill | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2016-10-28 |
| 1871963884 | Sharryc Smith | Counselor | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2015-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
Please comment or provide details below to improve the information on MR. LARRY SHAVERS.
| 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.