SHELLY M SELF LPC
NPI 1265706428
Counselor - Mental Health in Ardmore, OK

Active since March 05, 2012PECOS Enrolled
301 W MAIN ST, STE 324, ARDMORE, OK 73401(580) 238-0506(580) 238-0506 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly M Self Lpc NPPES

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

SHELLY M SELF LPC (NPI 1265706428) is an individual mental health provider in Ardmore, Oklahoma and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1265706428
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELLY M SELFCredential: LPC
Location Address301 W MAIN ST, STE 324Ardmore, OK 73401-6337
Mailing Address704 Shirley LnMadill, OK 73446-9772 · (580) 238-0506
Fax(580) 238-0506
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 5, 2012
Last NPPES UpdateOctober 9, 2015
NPI 1265706428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
301 W MAIN ST, Ardmore, OK 73401

Other Identifiers 1

Medicaid200049040COK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelly M Self Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012455710
PECOS Enrollment IDI20240813001590
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 5

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

Counselor (Professional)
301 W MAIN ST, SUITE 329
ARDMORE, OK 73401
Case Manager/Care Coordinator
301 W MAIN ST
ARDMORE, OK 73401
Case Manager/Care Coordinator
301 W MAIN ST, SUITE 202
ARDMORE, OK 73401
Counselor (Mental Health)
301 W MAIN ST, SUITE #324
ARDMORE, OK 73401
Case Manager/Care Coordinator
301 W MAIN ST, SUITE 307
ARDMORE, OK 73401

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 Shelly Self's NPI number?

The NPI number for Shelly Self is 1265706428. It was assigned to this individual provider in the NPPES registry on March 5, 2012.

Where is Shelly Self located?

Shelly Self practices at 301 W Main St Ste 324, Ardmore, OK 73401. The listed phone number is (580) 238-0506.

What is Shelly Self's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shelly Self enrolled in Medicare?

Yes. Shelly Self is registered in the Medicare PECOS enrollment system.

What insurance does Shelly Self accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shelly Self 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 Shelly Self was last updated on October 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.