Celeste Northam

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1000 W Wilshire Blvd Ste 224
Oklahoma City, OK 73116-7020

Phone

(405) 849-6526

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Celeste Singleton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1003534850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 19TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD STE 224",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167020",
            "telephone_number": "405-849-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHAM",
        "first_name": "CELESTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pennylanetherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1000 W Wilshire Blvd Ste 224",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731167020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "SINGLETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.