Individual provider Active NPI

Patrice D. Riley, MHR/MRC

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1073787404
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
448 36TH Ave NW Ste 101
Norman, OK 73072-4743
Phone
(888) 573-7792
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Case Manager/Care Coordinator 171M00000X
Rehabilitation Practitioner 225400000X
Mental Health Counselor 101YM0800X 21448 OK
Case Management Agency 251B00000X
Professional Counselor 101YP2500X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

448 36TH Ave NW Ste 101
Norman, OK 73072-4743

Mailing address

4528 S Sheridan Rd Ste 113
4528 S. Sheridan Rd, Ste 113, Tulsa Ok 74145
Tulsa, OK 74145-1101
Phone (918) 282-5363

Other practice location 1

4528 S Sheridan Rd Ste 113
4528 S. Sheridan Rd, Ste 113, Tulsa Ok 74145
Tulsa, OK 74145-1101
Phone (918) 282-5363

Other identifiers 2

IdentifierTypeStateIssuer
1245549567OtherOKOKLAHOMA HEALTH CARE AUTHORITY
200242130AOtherOKOHCA SOONERCARE PROVIDER

Other names 1

  • Mrs. Pat D Simpkins Professional name

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

LicenseStateTypeSpecialty
21448OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PS&a Case Management & Provider Agency Case Management Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1073787404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD STE 113",
            "address_2": "4528 S. SHERIDAN RD, STE 113, TULSA OK 74145",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451101",
            "telephone_number": "918-282-5363",
            "fax_number": "918-282-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 36TH AVE NW STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724743",
            "telephone_number": "888-573-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4528 S Sheridan Rd Ste 113",
            "address_2": "4528 S. Sheridan Rd, Ste 113, Tulsa Ok 74145",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741451101",
            "country_code": "US",
            "telephone_number": "918-282-5363",
            "fax_number": "918-282-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PATRICE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MHR/MRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "21448",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA HEALTH CARE AUTHORITY",
            "identifier": "1245549567",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHCA SOONERCARE PROVIDER",
            "identifier": "200242130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAT",
            "last_name": "SIMPKINS",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "MHR/MRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.