Shannon Ryder
Counselor • Tulsa, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shannon Ryder has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Shannon Ryder was a registered Counselor practicing in Tulsa, OK. Throughout an active medical career spanning 6 years, Shannon Ryder provided care at the practice location at 6216 S LEWIS AVE until profile deactivation on 2023-02-01.
Practice Location & Contact Primary Location
6216 S Lewis Ave
Ste. 180
Tulsa, OK 741361044
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Tulsa, OK
Practicing in Tulsa, OK (4611 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
LADCH, MH, Licensed Professional Counselor
Case Manager/Care Coordinator
Master of Science
Counselor
Social Worker
Licensed Master Social Worker
Counselor
Licensed Professional Counselor
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 01, 2023
NPI status registered as active in NPPES database
Registered at 6216 S LEWIS AVE, STE. 180, TULSA, OK 741361044 (Tel: 9189607852)
Registered at 6216 S LEWIS AVE, STE. 180, TULSA, OK 741361044 (Tel: 9189607852)
Recorded as SHANNON RYDER
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
6216 S Lewis Ave, Ste. 180
Tulsa, OK 741361044
Phone: 9189607852
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