Active NPI
Brighter Outlook
- Mental Health Counselor
- Broken Arrow, OK
National Provider Identifier
1073978029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4835
- Legal business name
- BRIGHTER OUTLOOK
- Practice address
- 25206 E 64TH St S
Broken Arrow, OK 74014-2213 - Phone
- (918) 812-5315
- Fax
- (918) 615-6415
- NPI assigned
- Dec 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen Ann Billips, LBP
- Title
- President
- Phone
- (918) 812-5315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4835 | OK | Primary |
Addresses
Primary practice location
25206 E 64TH St S
Broken Arrow, OK 74014-2213
Mailing address
25206 E 64TH St S
Broken Arrow, OK 74014-2213
Phone (918) 812-5315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003226780A | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Brighter Outlook
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Broken Arrow, OK
- NPI 1184939183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450310400000",
"number": "1073978029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25206 E 64TH ST S",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740142213",
"telephone_number": "918-812-5315",
"fax_number": "918-615-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25206 E 64TH ST S",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740142213",
"telephone_number": "918-812-5315",
"fax_number": "918-615-6415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER OUTLOOK",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A",
"authorized_official_last_name": "BILLIPS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-812-5315",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LBP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "4835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003226780A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.