NPIMap

Organization Active NPI

Speak Life Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodward, OK
National Provider Identifier
1033749569
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SPEAK LIFE THERAPY LLC
Practice address
1909 Main St Ste 4
Woodward, OK 73801-2942
Phone
(405) 388-9528
NPI assigned
Jan 23, 2020
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1909 Main St
Ste 4
Woodward, OK 73801
Phone (405) 388-9528

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Kerri Ann Wenner, LCSWNPI 1043674906
Title
Owner/Therapist
Phone
(405) 388-9528

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1909 Main St Ste 4
Woodward, OK 73801-2942

Mailing address

1909 Main St Ste 4
Woodward, OK 73801-2942
Phone (405) 388-9528

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2020.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1033749569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MAIN ST STE 4",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012942",
            "telephone_number": "405-388-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MAIN ST STE 4",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012942",
            "telephone_number": "405-388-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "WENNER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "405-388-9528",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.