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JAMES SHULL
NPI 1912724303
Peer Specialist in Commerce, OK

Active since September 25, 2024
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339(918) 253-6548 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Shull NPPES

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

JAMES SHULL (NPI 1912724303) is an individual peer specialist in Commerce, Oklahoma and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1912724303
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJAMES SHULL
Location Address304 N MICKEY MANTLE BLVDCommerce, OK 74339-1110
Mailing Address2205 Pelican DrGrove, OK 74344-5405 · (918) 253-7701
Phone(918) 253-6548
Sole ProprietorYes
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1912724303 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.

304 N MICKEY MANTLE BLVD, Commerce, OK 74339
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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

GREG FENT
Counselor (Addiction (Substance Use Disorder))
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
LISHA LANCASTER
Counselor (Addiction (Substance Use Disorder))
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
NORTHEASTERN OKLAHOMA COUNCIL ON ALCOHOLISM, INC.
Substance Abuse Rehabilitation Facility
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
TRACY LEANN RIDER
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
JENNIFER JEAN CALLAHAN
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
JOSEPH GOLDMAN
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JOHNNY FROST
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (405) 679-7144

Frequently Asked Questions

What is James Shull's NPI number?

The NPI number assigned to this healthcare provider is 1912724303, enumerated as an "individual" on September 25, 2024.

Where is the provider located?

The provider is located at 304 N MICKEY MANTLE BLVD COMMERCE, OK 74339 and the phone number is (918) 253-6548.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.