Individual provider Active NPI

Courtney Janoe

  • Counselor
  • Antlers, OK
National Provider Identifier
1104162296
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1322 W Main St
Antlers, OK 74523-2016
Phone
(580) 298-5062
Fax
(580) 298-9958
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 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

IdentifierTypeStateIssuer
200111200AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625004283 OK Practitioner - Mental Health Counselor 2769926278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads 1010 LLC CurrentSince Apr 14, 2024 Accepting new patients
Zen Gee Counseling & Psychological Serv LLC Past Accepting new patients

Locations

193908 US Highway 271
Antlers, OK 74523
Phone (580) 271-7080

Organizations & group practices 2

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": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1104162296",
    "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": "JANOE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "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

Verify at the official NPI Registry.