SHELBY LYNN EASON
NPI 1164044848
Counselor in Tishomingo, OK

Q: What is Shelby Eason's NPI number?

The NPI number for Shelby Eason is 1164044848. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Q: What is Shelby Eason's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Eason was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 15, 2020PECOS Enrolled

201 S MURRAY ST, TISHOMINGO, OK 73460(580) 371-0321 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 23, 2025, May 15, 2020 (2 updates tracked since 2020).

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About Shelby Lynn Eason NPPES

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

SHELBY LYNN EASON (NPI 1164044848) is an individual counselor in Tishomingo, Oklahoma and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164044848

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHELBY LYNN EASON

Location Address201 S MURRAY STTishomingo, OK 73460-2224

Mailing Address8201 S Rock Creek LoopTishomingo, OK 73460-4419

Phone(580) 371-0321

Sole ProprietorNo

Enumeration DateMay 15, 2020

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1164044848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

201 S MURRAY ST, Tishomingo, OK 73460

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Lynn Eason is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL KATHERINE MILLER BSW

Case Manager/Care Coordinator