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MS. SHANA NICCUM LPC
NPI 1295231330
Counselor - Mental Health in Tulsa, OK

Active since April 05, 2018PECOS Enrolled
2325 S HARVARD AVE, TULSA, OK 74114(918) 712-4301 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 19, 2022, Apr 1, 2019, Nov 30, 2018 and 2 more (5 updates tracked since 2018).

About Ms. Shana Niccum Lpc NPPES

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

MS. SHANA NICCUM LPC (NPI 1295231330) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (10246) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295231330
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHANA NICCUMCredential: LPC
Location Address2325 S HARVARD AVETulsa, OK 74114-3300
Mailing Address2325 S Harvard AveTulsa, OK 74114-3300 · (918) 712-4301
Phone(918) 712-4301
Sole ProprietorNo
Enumeration DateApril 5, 2018
Last NPPES UpdateJune 29, 20235 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1295231330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 10246
2325 S HARVARD AVE, Tulsa, OK 74114
Open in Google Maps ↗

Other Identifiers 1

Medicaid200779150AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shana Niccum Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Shana Niccum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family & Children's Services, Inc
2.6 mi
Community/Behavioral Health
650 S PEORIA
Tulsa, OK 74120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 91 clinicians in this Medicare group
NPI 1023122439 (918) 587-9471

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 20

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

TAMARA CAROL DANLEY BA
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
LORI ARP
Registered Nurse
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
MRS. JENNIFER BLACK
Counselor
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
MICHAEL ALAN WREST
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
TOLISSA AUTRY MHR
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 859-0986
KASSIDY JADE MUROHY RN
Registered Nurse
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (209) 588-6948
SUMMER LUANN WILDE RSS
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
JULIEN DOH
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301

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 Shana Niccum's NPI number?

The NPI number for Shana Niccum is 1295231330. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Shana Niccum located?

Shana Niccum practices at 2325 S Harvard Ave, Tulsa, OK 74114. The listed phone number is (918) 712-4301.

What is Shana Niccum's specialty?

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

Is Shana Niccum enrolled in Medicare?

Yes. Shana Niccum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shana Niccum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Niccum reassigns Medicare benefits to Family & Children's Services, Inc (Tulsa, 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 Shana Niccum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shana Niccum accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and CommunityCare list Shana Niccum 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 Shana Niccum was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.