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MRS. SHANNON DREADFULWATER LPC
NPI 1689987059
Counselor - Professional in Tahlequah, OK

Active since July 14, 2010
315 N COLLEGE AVE, TAHLEQUAH, OK 74464(918) 453-1171 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Shannon Dreadfulwater Lpc NPPES

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

MRS. SHANNON DREADFULWATER LPC (NPI 1689987059) is an individual professional provider in Tahlequah, Oklahoma, licensed in Oklahoma (4733) and active in the NPI registry since July 2010. She maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1689987059
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNON DREADFULWATERCredential: LPC
Location Address315 N COLLEGE AVETahlequah, OK 74464-2703
Mailing Address315 N College AveTahlequah, OK 74464-2703 · (918) 453-1171
Phone(918) 453-1171
Sole ProprietorYes
Enumeration DateJuly 14, 2010
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1689987059 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 · 4733
315 N COLLEGE AVE, Tahlequah, OK 74464
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Secondary Practice Location 1

Location 11140 Mayberry DrTahlequah, OK 74464-4603 · Phone (918) 453-1108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Other Providers at the Same Location NPPES 2

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

MELINDA SHAVER, PSY.D.
Community/Behavioral Health
315 N COLLEGE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 457-8100
DAWN BALLEW
Social Worker (Clinical)
315 N COLLEGE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 453-1171

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 Dreadfulwater's NPI number?

The NPI number for Shannon Dreadfulwater is 1689987059. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Shannon Dreadfulwater located?

Shannon Dreadfulwater practices at 315 N College Ave, Tahlequah, OK 74464. The listed phone number is (918) 453-1171.

What is Shannon Dreadfulwater's specialty?

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

What insurance does Shannon Dreadfulwater accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Shannon Dreadfulwater 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 Shannon Dreadfulwater was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.