SHELLY M SELF LPC
NPI 1265706428
Counselor - Mental Health in Ardmore, OK
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
Specialties & Licenses
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)
Shelly M Self Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelly Self reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ardmore, OK 73401
- Reassigned Medicare billing, Oklahoma enrollment
- 28 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARDMORE, OK 73401
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.
Which organization bills Medicare for Shelly Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Self reassigns Medicare benefits to Lynch Family Services LLC (Ardmore, 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 Shelly Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Self accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, 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 11 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.
# Shelly M Self, LPC · NPI 1265706428
Mental Health provider in Ardmore, Oklahoma. Individual provider, active in the CMS NPPES registry since March 5, 2012.
## Identity
- **NPI:** 1265706428 (Entity type: Individual)
- **Enumerated:** March 5, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 301 W MAIN ST, STE 324, Ardmore, OK 73401-6337
- **Phone:** (580) 238-0506 · **Fax:** (580) 238-0506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lynch Family Services LLC (NPI 1568722379, Ardmore, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 9, 2015
- **Other identifiers:** Medicaid 200049040C (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1265706428) · Data from the CMS NPPES public registry.