LILLIAN MAE, LLC
NPI 1700489176
Counselor in Shawnee, OK

Active since November 18, 2020
44038 45TH ST, SHAWNEE, OK 74804(405) 219-0030(405) 730-5169 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lillian Mae, Llc NPPES

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

LILLIAN MAE, LLC (NPI 1700489176) is a healthcare organization registered as a counselor in Shawnee, Oklahoma and active in the NPI registry since November 2020. The organization lists Amy A. Jennings, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1700489176
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameLILLIAN MAE, LLC
Location Address44038 45TH STShawnee, OK 74804-9683
Mailing Address6 Turkey Knob StShawnee, OK 74804-3231 · (405) 219-0030 · Fax (405) 730-5169
Fax(405) 730-5169
Organization SubpartNo
Authorized OfficialAmy A. JenningsLicensed Professional Counselor · (405) 219-0030
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1700489176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
44038 45TH ST, Shawnee, OK 74804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
44038 45TH ST
SHAWNEE, OK 74804
Counselor (Professional)
44038 45TH ST
SHAWNEE, OK 74804
Speech-Language Pathologist
44038 45TH ST
SHAWNEE, OK 74804
Counselor (Mental Health)
44038 45TH ST
SHAWNEE, OK 74804

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 Lillian Mae, LLC's NPI number?

The NPI number for Lillian Mae, LLC is 1700489176. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Lillian Mae, LLC located?

Lillian Mae, LLC is located at 44038 45th St, Shawnee, OK 74804. The listed phone number is (405) 219-0030.

What is Lillian Mae, LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lillian Mae, LLC was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.