Active NPI
Elizabeth Lanell Warren
- Mental Health Counselor
- Antlers, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1322 W Main St
Antlers, OK 74523-2016 - Phone
- (580) 298-5062
- Fax
- (580) 298-9958
- NPI assigned
- Jun 11, 2013
- Last updated
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1322 W Main St
Antlers, OK 74523-2016
Mailing address
1322 W Main St
Antlers, OK 74523-2016
Phone (580) 298-5062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200111200A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6464 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Past | Accepting new patients | |
| Zen Gee Counseling & Psychological Serv LLC | Mental Health | Past | Accepting new patients |
Locations
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
Organizations & group practices 5
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.
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba Choctaw Nation Health Clinic-Stigler
- Primary Care Clinic/Center
- Stigler, OK
- NPI 1184690026
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
dba Choctaw Nation Health Clinic-Broken Bow
- Primary Care Clinic/Center
- Broken Bow, OK
- NPI 1770559619
-
- Mental Health Counselor
- Antlers, OK
- NPI 1841491214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1063850170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 W MAIN ST",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745232016",
"telephone_number": "580-298-5062",
"fax_number": "580-298-9958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 W MAIN ST",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745232016",
"telephone_number": "580-298-5062",
"fax_number": "580-298-9958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ELIZABETH",
"middle_name": "LANELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200111200A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antlers, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.