Organization Active NPI

Core Counseling Mental Health Services PLLC

  • Professional Counselor
  • Yukon, OK
National Provider Identifier
1114376522
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5995 Issued in OK
Legal business name
CORE COUNSELING MENTAL HEALTH SERVICES PLLC
Practice address
300 S Ranchwood Blvd
Ste 2
Yukon, OK 73099-2741
Phone
(405) 742-7326
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Mrs. Jenna Bree Sinclair, LPC
Title
Licensed Professional Counselor
Phone
(405) 742-7326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5995 OK Primary

Addresses

Primary practice location

300 S Ranchwood Blvd
Ste 2
Yukon, OK 73099-2741

Mailing address

300 S Ranchwood Blvd
Ste 2
Yukon, OK 73099-2741
Phone (405) 742-7326

Other identifiers 1

IdentifierTypeStateIssuer
200484530BMedicaidOK

National Provider Directory

National Provider Directory

Locations

300 S Ranchwood Blvd
Ste 2
Yukon, OK 73099
Phone (405) 742-7326

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1114376522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RANCHWOOD BLVD",
            "address_2": "STE 2",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992741",
            "telephone_number": "405-742-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RANCHWOOD BLVD",
            "address_2": "STE 2",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992741",
            "telephone_number": "405-742-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COUNSELING MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "BREE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-742-7326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200484530B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.