Shelly Marie Kennedy-Gonzalez, LPC
Mental Health Counselor · Broken Arrow, OK
Shelly Marie Kennedy-Gonzalez, LPC is a mental health counselor with a practice address in Broken Arrow, Oklahoma, and NPI 1679923320, issued on Jun 14, 2016. Check the license (Oklahoma 06888, as entered in NPPES) with the Oklahoma board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shelly Marie Kennedy-Gonzalez
- Credential
- LPC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License numbers
- 06888 OK
6888 OK
Self-reported in NPPES; status is on the state search - Practice location
- 2017 S Elm PL Ste 104, Broken Arrow, OK 74012
- Phone
- (918) 379-4431
- Enumerated
- Jun 14, 2016
- Record last updated
- Nov 8, 2025
- Fax
- (918) 328-2380
- Medicare enrollment
- Enrolled (PECOS I20240422003081); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 6,520 in Oklahoma → Look up another NPI →
Also registered at 2017 S Elm PL Ste 104
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kelli King, LPC, LADCMental Health Counselor1497978555
- Summer Minor, LPC-CMental Health Counselor1275395998
- Christine Monteith, LCSW, LADC/MHClinical Social Worker1700274230
- Savanah Peek, LPCCCounselor1760129209
- Brianna StinnettMental Health Counselor1396637708
- Gregory Sutmiller, LPC, LADCMental Health Counselor1467690172
Verify Shelly Marie Kennedy-Gonzalez in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
Search for license 06888Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Evolution Mental Health Services PLLCTulsa, OK
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shelly Marie Kennedy-Gonzalez among 6,520 mental health counselor records in Oklahoma
Shelly Marie Kennedy-Gonzalez, LPC is one of 6,520 mental health counselor records with a practice address in Oklahoma. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 72% of them.
- NPI issued2016 · 72% of these records are older, 24% newer
- In a Medicare fileYes · 5% of these records are
- In the CMS Doctors and Clinicians fileYes · 7% of these records are
- Graduated2016 · median 2014 among the 464 with a school on file
- Record last updated2025 · 75% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
61 mental health counselor records list a practice address in Broken Arrow
They are 61 of the 1,748 NPPES records with a practice address in Broken Arrow, and 6,520 mental health counselor records in Oklahoma.
All 6,520 in Oklahoma → Every provider in Broken Arrow → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Ashley Bell, B.S., PSRSBroken Arrow, OK 740121730410309
- Kathy Billips, MS, LBPBroken Arrow, OK 740121568533743
- Phillip Black, M.S.Broken Arrow, OK 740121326149873
- Daniel Boland, MSBroken Arrow, OK 740121285953968
- Regina Carrels, BS, PSRSBroken Arrow, OK 740121245561851
- Angela Fent, BSBroken Arrow, OK 740121346529625
- Lawrence Gilbert, LPC LADCBroken Arrow, OK 740121922175850
- Marcia Keesee, LPC-SBroken Arrow, OK 740121861694945
Common questions
What is Shelly Marie Kennedy-Gonzalez, LPC's NPI number?
Shelly Marie Kennedy-Gonzalez, LPC's National Provider Identifier (NPI) is 1679923320, issued on Jun 14, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Shelly Marie Kennedy-Gonzalez, LPC located?
The NPPES record lists a practice address at 2017 S Elm PL Ste 104, Broken Arrow, OK, 74012. Phone: (918) 379-4431. Providers update this record themselves, so call before visiting.
How can I verify Shelly Marie Kennedy-Gonzalez, LPC's license?
NPPES lists Oklahoma license number 06888, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.