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Katelyn Lee Shepard , MSPS, LPC

Counselor - Professional β€’ Ada, OK

Active NPI 1922982685 Individual Practitioner Female Practitioner
Practice location in NPPES

119 N Broadway Ave Ste 106
Ada, OK 748205049

Call 5802353967 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

119 N Broadway Ave Ste 106

Ada, OK 748205049

Telephone 5802353967

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ada and Oklahoma

48 active clinicians are listed under Counselor - Professional with a practice address in Ada, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ada

0% of these 48 clinicians have the CMS telehealth indicator.

10.4% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OK 11543
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 20, 2026

Registered at 119 N BROADWAY AVE STE 106, ADA, OK 748205049 (Tel: 5802353967)

βœ…
NPI Profile Active August 04, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2025

Registered at 10215 COUNTY ROAD 3440, STRATFORD, OK 748725302 (Tel: 5802353967)

πŸ“
Business Mailing Address (Initial Record) August 04, 2025

Registered at 10215 COUNTY ROAD 3440, STRATFORD, OK 748725302 (Tel: 5802353967)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2025

Recorded as KATELYN SHEPARD, MSPS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2025

Counselor (license number reported to NPPES: OK 11543)

🟒
Initial NPI Registration & Enumeration August 04, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922982685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2025
Last Update: May 20, 2026
Sole Proprietor: Yes

Mailing Address

10215 County Road 3440

Stratford, OK 748725302

Phone: 5802353967

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.