MR. SHANE LIETCH
NPI 1295276731
Peer Specialist in Edmond, OK

Q: What is Shane Lietch's NPI number?

The NPI number for Shane Lietch is 1295276731. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Q: What is Shane Lietch's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Lietch was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 16, 2017

609 ROLLING HILLS TER, EDMOND, OK 73012(405) 588-2356 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2022, Mar 16, 2017 (2 updates tracked since 2017).

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About Mr. Shane Lietch NPPES

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

MR. SHANE LIETCH (NPI 1295276731) is an individual peer specialist in Edmond, Oklahoma and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1295276731

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. SHANE LIETCH

Location Address609 ROLLING HILLS TEREdmond, OK 73012-6611

Mailing Address11998 E 223rd St SPorum, OK 74455-4081 · (405) 588-2356

Phone(405) 588-2356

Sole ProprietorYes

Enumeration DateMarch 16, 2017

Last NPPES UpdateApril 18, 20222 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1295276731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

609 ROLLING HILLS TER, Edmond, OK 73012

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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 Shane Lietch's NPI number?

The NPI number for Shane Lietch is 1295276731. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Shane Lietch located?

Shane Lietch practices at 609 Rolling Hills Ter, Edmond, OK 73012. The listed phone number is (405) 588-2356.

What is Shane Lietch's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Lietch was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.