Active NPI
Linda Mounce Womack, L.P.C.
- Professional Counselor
- Broken Bow, OK
National Provider Identifier
1023147246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3056
- Practice address
- RT 4 Sweet Home Road, #101
Broken Bow, OK 74728-9467 - Phone
- (580) 584-2709
- NPI assigned
- Mar 5, 2007
- Last updated
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3056 | OK | Primary |
Addresses
Primary practice location
RT 4 Sweet Home Road, #101
Broken Bow, OK 74728-9467
Mailing address
PO Box 1383
Broken Bow, OK 74728-1383
Phone (580) 584-2709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200225230-A | Medicaid | OK | |
| 200225230-B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3056 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1023147246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1383",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747281383",
"telephone_number": "580-584-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 4 SWEET HOME ROAD, #101",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747289467",
"telephone_number": "580-584-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "LINDA",
"middle_name": "MOUNCE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200225230-A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200225230-B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broken Bow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.