Active NPI
Core Counseling Mental Health Services PLLC
- Professional Counselor
- Yukon, OK
National Provider Identifier
1114376522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5995
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200484530B | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Yukon, OK
- NPI 1487397568
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.