SHANNON DESERAE NICK
NPI 1487893871
Counselor - Mental Health in Oklahoma City, OK

Active since February 10, 2009
105 SE 45TH ST, OKLAHOMA CITY, OK 73129(405) 632-1900(405) 632-1976 Get Directions Write a Review

NPPES record last updated: February 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Deserae Nick NPPES

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

SHANNON DESERAE NICK (NPI 1487893871) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1487893871
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON DESERAE NICK
Location Address105 SE 45TH STOklahoma City, OK 73129-3201
Mailing Address105 Se 45th StOklahoma City, OK 73129-3201 · (405) 632-1900 · Fax (405) 632-1976
Fax(405) 632-1976
Sole ProprietorNo
Enumeration DateFebruary 10, 2009
NPI 1487893871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 SE 45TH ST, Oklahoma City, OK 73129

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.

Social Worker (Clinical)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Nurse Practitioner (Family)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Nurse Practitioner (Psychiatric/Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Professional)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Professional)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Professional)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129

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 Shannon Nick's NPI number?

The NPI number for Shannon Nick is 1487893871. It was assigned to this individual provider in the NPPES registry on February 10, 2009.

Where is Shannon Nick located?

Shannon Nick practices at 105 SE 45th St, Oklahoma City, OK 73129. The listed phone number is (405) 632-1900.

What is Shannon Nick's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Nick was last updated on February 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.