Organization Active NPI

Brain Health and Counseling Center

Doing business as Brain Health & Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edmond, OK
National Provider Identifier
1083439210
Registry record updated Dec 11, 2024
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
BRAIN HEALTH AND COUNSELING CENTER
Practice address
2000 E 15TH St Ste 450C
Edmond, OK 73013-6670
Phone
(405) 761-1740
NPI assigned
Nov 21, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Kyle McGraw, LPCM LADC
Title
Ceo
Phone
(405) 761-1740

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

2000 E 15TH St Ste 450C
Edmond, OK 73013-6670

Mailing address

2000 E 15TH St Ste 450C
Edmond, OK 73013-6670
Phone (405) 761-1740

Other names 2

  • Brain Health & Counseling Center Other name
  • Addiction Wellness & CounselingCenter Other name

National Provider Directory

National Provider Directory

Locations

2000 E 15th St
Ste 450C
Edmond, OK 73013
Phone (405) 245-9977

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1083439210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST STE 450C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136670",
            "telephone_number": "405-761-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST STE 450C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136670",
            "telephone_number": "405-761-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-761-1740",
        "authorized_official_credential": "LPCM LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Health & Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addiction Wellness & CounselingCenter",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Addiction Wellness & CounselingCenter",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Brain Health & Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.