Active NPI
Marlon Breaux, M. ED.
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1134501349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1100 NW 14TH St
Oklahoma City, OK 73106-4450 - Phone
- (405) 609-6549
- Fax
- (405) 528-7731
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1100 NW 14TH St
Oklahoma City, OK 73106-4450
Mailing address
1100 NW 14TH St
Oklahoma City, OK 73106-4450
Phone (405) 609-6549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbeam Family Services | Past | Accepting new patients | |
| Sunbeam Family Services, Inc. | Past | Accepting new patients |
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.
-
- Case Management Agency
- Oklahoma City, OK
- NPI 1295179505
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1619015005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1134501349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NW 14TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731064450",
"telephone_number": "405-609-6549",
"fax_number": "405-528-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NW 14TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731064450",
"telephone_number": "405-609-6549",
"fax_number": "405-528-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "MARLON",
"name_prefix": "Mr.",
"credential": "M. ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.