Brenda S Bause, LPC
Individual provider Active NPI Mental Health Counselor · Ardmore, OK
NPI 1083632004 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083632004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2337 (OK)
- Practice address
- 27B South West
Suite 100 & 200
Ardmore, OK 73401 - Phone
- (918) 712-0859
- Fax
- (918) 388-6456
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2337 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Pathways Unlimited Inc | Current |
Accepting new patients |
Locations
4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2337 | OK | Yes |
Addresses
Primary practice location
27B South West
Suite 100 & 200
Ardmore, OK 73401
Mailing address
PO Box 722
Ada, OK 74821-0722
Phone (405) 210-1110
Other providers in Ardmore, OK
- Sherrel Barnhart
- John Barry Barringer
- Dennis Bart
- Lauren Ve Battles
- Amanda Bauer
- Brianna Baxter
- Courtney Marie Baxter
- Stormy Bayles
- Andrea Ann Bean
- Lyndsi Luanne Beard
All providers in Ardmore, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.