Individual provider Active NPI

Rodnecca Gill

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1023745742
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10749 Issued in OK
Practice address
13439 Broadway Ext Unit 200
Oklahoma City, OK 73114-2256
Phone
(405) 445-2190
NPI assigned
Aug 3, 2022
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10749 OK Primary

Addresses

Primary practice location

13439 Broadway Ext Unit 200
Oklahoma City, OK 73114-2256

Mailing address

6716 NW 154TH St
Edmond, OK 73013-3366
Phone (405) 445-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314003188 OK Practitioner - Mental Health Counselor 3779005137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10749OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
4Purpose Counseling PLLC Mental Health CurrentSince Nov 4, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Mar 12, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Mar 12, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients

Locations

16301 Sonoma Park Dr
Edmond, OK 73013
Phone (405) 246-5433

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

13439 Broadway Ext
Ste 200
Oklahoma City, OK 73114
Phone (405) 445-2190

3000 W Memorial Rd
Ste 123131
Oklahoma City, OK 73120

1624 Cimarron Plz
Stillwater, OK 74075
Phone (800) 722-3611

604 S Walnut St
Stillwater, OK 74074
Phone (405) 338-7072

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1023745742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 154TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133366",
            "telephone_number": "405-445-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13439 BROADWAY EXT UNIT 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142256",
            "telephone_number": "405-445-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "RODNECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.