KODILYN SHOEMAKE LCSW-P
NPI 1568174993
Counselor - Mental Health in Muskogee, OK
About Kodilyn Shoemake Lcsw-p NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KODILYN SHOEMAKE LCSW-P (NPI 1568174993) is an individual mental health provider in Muskogee, Oklahoma, licensed in Oklahoma (7443) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kodilyn Shoemake Lcsw-p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Kodilyn Shoemake's NPI number?
The NPI number for Kodilyn Shoemake is 1568174993. It was assigned to this individual provider in the NPPES registry on December 16, 2022.
Where is Kodilyn Shoemake located?
Kodilyn Shoemake practices at 619 N Main St, Muskogee, OK 74401. The listed phone number is (918) 682-8407.
What is Kodilyn Shoemake's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kodilyn Shoemake enrolled in Medicare?
Yes. Kodilyn Shoemake is registered in the Medicare PECOS enrollment system.
What insurance does Kodilyn Shoemake accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Kodilyn Shoemake 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 Kodilyn Shoemake was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Kodilyn Shoemake, LCSW-P · NPI 1568174993
Mental Health provider in Muskogee, Oklahoma. Individual provider, active in the CMS NPPES registry since December 16, 2022.
## Identity
- **NPI:** 1568174993 (Entity type: Individual)
- **Enumerated:** December 16, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 7443 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 N MAIN ST, Muskogee, OK 74401-4431
- **Phone:** (918) 682-8407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568174993) · Data from the CMS NPPES public registry.