1. Home
  2. Directory
  3. Oklahoma
  4. Sallisaw
  5. Counselor
  6. NPI Profile

AMANDA RENEE SHACKELFORD
NPI 1386085728
Counselor - Mental Health in Sallisaw, OK

Active since July 15, 2013PECOS Enrolled
205 S J T STITES BLVD, SALLISAW, OK 74955(918) 775-7787(918) 775-0328 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Renee Shackelford NPPES

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

AMANDA RENEE SHACKELFORD (NPI 1386085728) is an individual mental health provider in Sallisaw, Oklahoma and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386085728
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA RENEE SHACKELFORD
Location Address205 S J T STITES BLVDSallisaw, OK 74955-9323
Mailing Address205 S J T Stites BlvdSallisaw, OK 74955-9323 · (918) 775-7787 · Fax (918) 775-0328
Phone(918) 775-7787
Fax(918) 775-0328
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 15, 2013
✔ NPI 1386085728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
205 S J T STITES BLVD, Sallisaw, OK 74955
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Renee Shackelford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244655645
PECOS Enrollment IDI20200803000119
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 Amanda Shackelford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pt Concepts, PLLC
71 mi
Mental Health
1200 W WALNUT ST STE 3101
Rogers, AR 72756
  • Reassigned Medicare billing, Arkansas enrollment
  • 41 clinicians in this Medicare group
NPI 1164931291 (479) 621-0301

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 7

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

MRS. SHARON SUE DAY CPS/BS
Counselor (Mental Health)
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
JIMMIE FITE
Counselor
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
MRS. LINDSIE RAE DYER B.S.
Behavior Analyst
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
MRS. TAYLOR RAE CHADWELL
Counselor (Mental Health)
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
LATICIA ANNETTE KNAULS
Counselor (Addiction (Substance Use Disorder))
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
CHERRIE FOSTER
Counselor (Mental Health)
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
LAUREN SANFORD
Counselor (Mental Health)
205 S J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787

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 Amanda Shackelford's NPI number?

The NPI number for Amanda Shackelford is 1386085728. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Amanda Shackelford located?

Amanda Shackelford practices at 205 S J T Stites Blvd, Sallisaw, OK 74955. The listed phone number is (918) 775-7787.

What is Amanda Shackelford's specialty?

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

Is Amanda Shackelford enrolled in Medicare?

Yes. Amanda Shackelford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Shackelford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Shackelford reassigns Medicare benefits to Pt Concepts, PLLC (Rogers, AR). 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 Amanda Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Shackelford accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Amanda Shackelford 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 Amanda Shackelford was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.