CLESHAWN DUBOSE
NPI 1174871107
Counselor - Professional in Tulsa, OK
About Cleshawn Dubose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLESHAWN DUBOSE (NPI 1174871107) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (6315) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cleshawn Dubose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cleshawn Dubose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Claremore, OK 74017
- Reassigned Medicare billing, Oklahoma enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74135
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 Cleshawn Dubose's NPI number?
The NPI number for Cleshawn Dubose is 1174871107. It was assigned to this individual provider in the NPPES registry on August 23, 2012.
Where is Cleshawn Dubose located?
Cleshawn Dubose practices at 4815 S Harvard Ave Ste 275, Tulsa, OK 74135. The listed phone number is (918) 973-3841.
What is Cleshawn Dubose's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Cleshawn Dubose enrolled in Medicare?
Yes. Cleshawn Dubose is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cleshawn Dubose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cleshawn Dubose reassigns Medicare benefits to Alliance Mental Health, LLC (Claremore, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cleshawn Dubose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cleshawn Dubose accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Cleshawn Dubose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cleshawn Dubose was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Cleshawn Dubose · NPI 1174871107
Professional provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since August 23, 2012.
## Identity
- **NPI:** 1174871107 (Entity type: Individual)
- **Enumerated:** August 23, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6315 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4815 S HARVARD AVE STE 275, Tulsa, OK 74135-3052
- **Phone:** (918) 973-3841
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Alliance Mental Health, LLC (NPI 1053602649, Claremore, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2025
- **Other identifiers:** Medicaid 200287120A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1174871107) · Data from the CMS NPPES public registry.