Shane Wilson, LPC,LADC
NPI 1063742138 · Professional Counselor · Norman, OK
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Wilson, LPC,LADC is a Professional Counselor provider in Norman, OK (NPI 1063742138).
Provider details
- NPI number
- 1063742138
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC,LADC
- Sex
- Male
- Sole proprietor
- No
- License
- 135 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-12
- Last updated
- 2023-12-21
- Certified
- 2023-12-21
Frequently asked questions
- What is Shane Wilson's NPI number?
- Shane Wilson's National Provider Identifier (NPI) is 1063742138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Wilson's specialty?
- Shane Wilson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Shane Wilson located?
- Shane Wilson's practice location on file with NPPES is 3750 W Main St Ste Aa, Norman, OK 73072-4645.
- What is Shane Wilson's phone number?
- The practice phone number listed in the NPPES registry for Shane Wilson is (405) 474-9374.
- Does Shane Wilson accept Medicare?
- Shane Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Wilson's NPI active?
- Yes — Shane Wilson's NPI (1063742138) is active in the NPPES registry as of the last update on 2023-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.