DESMOND L SHEPHERD MA, LPC
NPI 1669706503
Counselor - Professional in Tulsa, OK

Active since September 24, 2009PECOS Enrolled
8104 S QUEBEC AVE, TULSA, OK 74137(918) 764-9832 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desmond L Shepherd Ma, Lpc NPPES

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

DESMOND L SHEPHERD MA, LPC (NPI 1669706503) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (3533) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669706503
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDESMOND L SHEPHERDCredential: MA, LPC
Location Address8104 S QUEBEC AVETulsa, OK 74137-1849
Mailing Address8104 S Quebec AveTulsa, OK 74137-1849 · (918) 688-5332
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 24, 2009
Last NPPES UpdateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1669706503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 3533
8104 S QUEBEC AVE, Tulsa, OK 74137

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desmond L Shepherd Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860962420
PECOS Enrollment IDI20260526001285
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 Desmond Shepherd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2504 E 14TH PL
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Desmond Shepherd's NPI number?

The NPI number for Desmond Shepherd is 1669706503. It was assigned to this individual provider in the NPPES registry on September 24, 2009.

Where is Desmond Shepherd located?

Desmond Shepherd practices at 8104 S Quebec Ave, Tulsa, OK 74137. The listed phone number is (918) 764-9832.

What is Desmond Shepherd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Desmond Shepherd enrolled in Medicare?

Yes. Desmond Shepherd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desmond Shepherd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desmond Shepherd reassigns Medicare benefits to Resolve Behavioral Health Services (Tulsa, OK). 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 Desmond Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desmond Shepherd accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CommunityCare, Mending Health and Oscar Insurance Company and 1 other insurer list Desmond Shepherd 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 Desmond Shepherd was last updated on January 7, 2022. 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.