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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANNON MARIE FICINUS PEER SPECIALIST
NPI 1629909981
Peer Specialist in Jay, OK

Active since May 26, 2026
1015 W WASHBOURNE ST, JAY, OK 74346(844) 458-2100 Get Directions Write a Review

NPPES record added: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Ficinus Peer Specialist NPPES

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

SHANNON MARIE FICINUS PEER SPECIALIST (NPI 1629909981) is an individual peer specialist in Jay, Oklahoma and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1629909981
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANNON MARIE FICINUSCredential: PEER SPECIALIST
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address520 S Main St Ste 139Grove, OK 74344-3497 · (918) 964-1188
Phone(844) 458-2100
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1629909981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1015 W WASHBOURNE ST, Jay, OK 74346
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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.

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ANDREW C WICKLINE
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 868-7489
ELIZABETH BUCHANAN
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
MRS. KRISTEN LEANN BOLDRA
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696

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 Ficinus's NPI number?

The NPI number for Shannon Ficinus is 1629909981. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Shannon Ficinus located?

Shannon Ficinus practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (844) 458-2100.

What is Shannon Ficinus'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 Shannon Ficinus was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.