Organization Active NPI

Dread Not Mammoth LLC

  • Mental Health Counselor
  • Norman, OK
National Provider Identifier
1134857147
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DREAD NOT MAMMOTH LLC
Practice address
1215 Crossroads Blvd Ste 106
Norman, OK 73072-3334
Phone
(940) 765-3687
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Nicole Brown, LPC, LADCNPI 1962568410
Title
Clinic Director
Phone
(940) 765-3687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1215 Crossroads Blvd Ste 106
Norman, OK 73072-3334

Mailing address

757 SW 13TH St
Moore, OK 73160-2685
Phone (405) 248-0185

Other names 1

  • Ellie Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

1215 Crossroads Blvd
Ste 106
Norman, OK 73072
Phone (405) 253-5417

Practitioners & affiliated clinicians

Practitioners 1

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": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1134857147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SW 13TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602685",
            "telephone_number": "405-248-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CROSSROADS BLVD STE 106",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723334",
            "telephone_number": "940-765-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAD NOT MAMMOTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "940-765-3687",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.