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SHAKILA KASHAWN GREEN CMII
NPI 1336669795
Counselor - Addiction (Substance Use Disorder) in Konawa, OK

Active since June 26, 2017
14430 NS 3500, KONAWA, OK 74849(580) 925-2650 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2021, Nov 23, 2021, Aug 23, 2017 and 1 more (4 updates tracked since 2017).

About Shakila Kashawn Green Cmii NPPES

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

SHAKILA KASHAWN GREEN CMII (NPI 1336669795) is an individual addiction (substance use disorder) provider in Konawa, Oklahoma and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1336669795
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHAKILA KASHAWN GREENCredential: CMII
Location Address14430 NS 3500Konawa, OK 74849-4901
Mailing Address14430 Ns 3500Konawa, OK 74849-4901
Phone(580) 925-2650
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateDecember 10, 20214 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1336669795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
14430 NS 3500, Konawa, OK 74849
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Other Names 1

Former Name (1)Shakila Kashawn Sorrells Cmii

Other Identifiers 2

Medicaid200128860AOK
Medicaid200724510AOK

Other Providers at the Same Location NPPES 10

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

JENNIFER JEAN JOHNSTON LPN
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
JENAE MICOZZI
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
CHRIS LYNN WHITE JR.
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
CHARLES HOUSTON FURR
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
TOMMY LYNN SAWYER
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
LESLIE DAWN GOODMAN
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
DESTINIE ROSE VINCENT
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
JOSHUA KEITH FARMER
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650

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 Shakila Green's NPI number?

The NPI number for Shakila Green is 1336669795. It was assigned to this individual provider in the NPPES registry on June 26, 2017. The provider is also known as Shakila Kashawn Sorrells Cmii.

Where is Shakila Green located?

Shakila Green practices at 14430 Ns 3500, Konawa, OK 74849. The listed phone number is (580) 925-2650.

What is Shakila Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shakila Green was last updated on December 10, 2021. 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.