Organization Active NPI

Annette Bogard, Ms, LPC, NCC PLLC

  • Counselor
  • Tulsa, OK
National Provider Identifier
1033718556
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ANNETTE BOGARD, MS, LPC, NCC PLLC
Practice address
4444 E 31St St
Tulsa, OK 74135
Phone
(918) 749-1991
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Annette Bogard, MS, LPC, NCCNPI 1639565609
Title
Therapist
Phone
(316) 680-5760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4444 E 31St St
Tulsa, OK 74135

Mailing address

117 S Sweet Gum Place
Broken Arrow, OK 74012-4568
Phone (316) 680-5760

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1033718556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S SWEET GUM PLACE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124568",
            "telephone_number": "316-680-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-749-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE BOGARD, MS, LPC, NCC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "316-680-5760",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.