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Dr. Shannon Hackett , PhD

Psychologist - Counseling β€’ Tulsa, OK

Active NPI 1962717884 Individual Practitioner Female Practitioner
Practice location in NPPES

12 N Cheyenne Ave, Box 042
Tulsa, OK 741032215

Call 2064450604 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

12 N Cheyenne Ave
Box 042

Tulsa, OK 741032215

Telephone 2064450604
Fax 2066023836
Organization at the Same NPPES Address or Phone
Hackett Psychology, Pllc Facility NPI 1861850604

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Seattle, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2010

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 Tulsa and Oklahoma

26 active clinicians are listed under Psychologist - Counseling with a practice address in Tulsa, OK (113 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tulsa

3.8% of these 26 clinicians have the CMS telehealth indicator.

7.7% of these 26 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: 2025-01-23
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES WA PY60604139

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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

Secondary Practice Locations

509 Olive Way Ste 204

Seattle, WA 981011726

Phone: 2063295255

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location January 23, 2025

Registered at 12 N CHEYENNE AVE, BOX 042, TULSA, OK 741032215 (Tel: 2064450604)

πŸ“
Updated Business Mailing Address January 23, 2025

Registered at 12 N CHEYENNE AVE, BOX 042, TULSA, OK 741032215 (Tel: 2064450604)

🏒
Secondary Practice Location Registered January 23, 2025

Additional practice office at 509 Olive Way Ste 204, Seattle, WA 981011726

πŸ“
Updated Practice Location March 19, 2024

Registered at 36 E CAMERON ST, TULSA, OK 741031405 (Tel: 2063292555)

πŸ“
Updated Business Mailing Address March 19, 2024

Registered at 36 E CAMERON ST # 27, TULSA, OK 741031405 (Tel: 2063292555)

βœ…
NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 31, 2017

Registered at 509 OLIVE WAY STE 204, SEATTLE, WA 981011726 (Tel: 2063295255)

πŸ“
Updated Business Mailing Address May 31, 2017

Registered at 509 OLIVE WAY STE 204, SEATTLE, WA 981011726 (Tel: (206) 329-5255)

πŸ‘€
Provider Name / Credentials Updated May 31, 2017

Recorded as SHANNON HACKETT, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Psychologist (license number reported to NPPES: WA PY60604139)

βœ…
NPI Profile Active February 08, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 08, 2016

Registered at 818 12TH AVE, SEATTLE, WA 981224410 (Tel: 2063295255)

πŸ“
Business Mailing Address (Initial Record) February 08, 2016

Registered at 818 12TH AVE, SEATTLE, WA 981224410 (Tel: 2063295255)

πŸ‘€
Provider Name / Credentials (Initial Record) February 08, 2016

Recorded as SHANNON HACKETT, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2016

Psychologist (license number reported to NPPES: WA PY60604139)

🟒
Initial NPI Registration & Enumeration August 16, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962717884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2010
Last Update: January 23, 2025
Sole Proprietor: No

Mailing Address

12 N Cheyenne Ave, Box 042

Tulsa, OK 741032215

Phone: 2064450604

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.