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ASHLEY D. SHACKELFORD MBS, LPC
NPI 1790003101
Counselor - Mental Health in Atoka, OK

Active since May 10, 2010PECOS EnrolledAccepts Medicare Assignment
563 W 13TH ST, ATOKA, OK 74525(580) 364-0606(580) 364-0866 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ashley D. Shackelford Mbs, Lpc NPPES

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

ASHLEY D. SHACKELFORD MBS, LPC (NPI 1790003101) is an individual mental health provider in Atoka, Oklahoma and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Durant, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790003101
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASHLEY D. SHACKELFORDCredential: MBS, LPC
Location Address563 W 13TH STAtoka, OK 74525-3708
Mailing Address1312 N 1st AveDurant, OK 74701-2810 · (580) 920-2069 · Fax (580) 920-1010
Phone(580) 364-0606
Fax(580) 364-0866
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 10, 2010
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1790003101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
563 W 13TH ST, Atoka, OK 74525
Open in Google Maps ↗

Secondary Practice Location 1

Location 11312 N 1st AveDurant, OK 74701-2810 · Phone (580) 920-2069 · Fax (580) 920-1010

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley D. Shackelford Mbs, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173973567
PECOS Enrollment IDI20231227002639
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 Ashley Shackelford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Psychological Development, Inc.
29 mi
Mental Health
1312 N 1ST AVE
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 36 clinicians in this Medicare group
NPI 1831409440 (580) 920-2069

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

Other Providers at the Same Location NPPES 3

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

MRS. TINA RA'CHELLE GARNER LPC
Counselor
563 W 13TH ST
ATOKA, OK 74525
Atoka County (580) 364-0606
JANNA JOELLE NORRIS MA, LPC NCC
Counselor
563 W 13TH ST
ATOKA, OK 74525
Atoka County (580) 364-0606
MRS. LINDSEY STEPHENS
Counselor
563 W 13TH ST
ATOKA, OK 74525
Atoka County (580) 364-0606

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 Ashley Shackelford's NPI number?

The NPI number for Ashley Shackelford is 1790003101. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Where is Ashley Shackelford located?

Ashley Shackelford practices at 563 W 13th St, Atoka, OK 74525. The listed phone number is (580) 364-0606.

What is Ashley Shackelford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ashley Shackelford enrolled in Medicare?

Yes. Ashley Shackelford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashley Shackelford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Shackelford reassigns Medicare benefits to Center For Psychological Development, Inc. (Durant, 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 Ashley Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Shackelford accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company and UnitedHealthcare list Ashley Shackelford 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 Ashley Shackelford was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.