Shawnda Pauline Kirchmann, L.P.C.
Counselor in Grove, OK. Individual provider (NPI-1).
NPI number1700242591
StatusActive
Last updated in NPPESApr 6, 2023
Details
- NPI
- 1700242591
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shawnda Pauline Kirchmann
- Credential
- L.P.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2016
- Certification date
- Apr 6, 2023
- Last updated
- Apr 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 7705 | OK | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1115 Harbor RdGrove, OK 74344-3505
Phone 918-786-4434 · Fax 918-786-4435
Mailing address
1115 Harbor RdGrove, OK 74344-3505
Phone 918-786-4434 · Fax 918-786-4435
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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