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MRS. MELISSA HOLLY SHOCKLEY M.ED
NPI 1023422995
Counselor in Oklahoma City, OK

Active since June 18, 2014Opted out of Medicare · through Feb 9, 2028
2607 NW 67TH ST, NONE, OKLAHOMA CITY, OK 73116(405) 802-1479 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melissa Holly Shockley M.ed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA HOLLY SHOCKLEY M.ED (NPI 1023422995) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since June 2014. She has opted out of Medicare through February 9, 2028.

NPPES Registry Identity

NPI1023422995
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. MELISSA HOLLY SHOCKLEYCredential: M.ED
Location Address2607 NW 67TH ST, NONEOklahoma City, OK 73116-4703
Mailing Address2607 Nw 67th St, NoneOklahoma City, OK 73116-4703 · (405) 802-1479
Phone(405) 802-1479
Sole ProprietorYes
Enumeration DateJune 18, 2014
✔ NPI 1023422995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
2607 NW 67TH ST, Oklahoma City, OK 73116
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Melissa Holly Shockley M.ed has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 9, 2026 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2026
Opt-Out In Effect ThroughFebruary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Shockley's NPI number?

The NPI number for Melissa Shockley is 1023422995. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Melissa Shockley located?

Melissa Shockley practices at 2607 NW 67th St None, Oklahoma City, OK 73116. The listed phone number is (405) 802-1479.

What is Melissa Shockley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Melissa Shockley enrolled in Medicare?

No. Melissa Shockley has opted out of Medicare through February 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melissa Shockley was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.