Shelly Marie Kennedy-Gonzalez, LPC
NPI 1679923320ActiveIndividual· Counselor, Mental Health· Broken Arrow, OK
Counselor, Mental Health (LPC) with Evolution Mental Health Services PLLC, practicing in Broken Arrow, Oklahoma. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1679923320 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jun 14, 2016 |
| Last updated in NPPES | Nov 8, 2025 |
| Certified by provider | Nov 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 06888 | OK |
| Counselor | 101Y00000X | 6888 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OK) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Evolution Mental Health Services PLLCTulsa, OK · 6 clinicians
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