Diversity Center of Oklahoma

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5944 Issued in OK

Legal business name

DIVERSITY CENTER OF OKLAHOMA

Practice address

6912 Cricket Canyon Rd
Oklahoma City, OK 73162-6656

Phone

(405) 761-7402

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kelley Bronnell Blair, M.S.NPI 1497983829

Title

Licensed Professional Counselor

Phone

(405) 761-7402

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelley Bronnell Blair, M.S.

  • Counselor
  • Oklahoma City, OK
  • NPI 1497983829
  NPD (past) Authorized official

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1144686767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 CRICKET CANYON",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73162",
            "telephone_number": "405-761-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 CRICKET CANYON RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626656",
            "telephone_number": "405-761-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY CENTER OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "BRONNELL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-761-7402",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discover Your Essence, PLLC
• Discovering You Inc.
• Vernona Dismuke
• Distributed Medical Solutions, L.L.C.
• Katie M Ditommaso
• Diversity Family Health Plllp
• Diversity Family Pharmacy Inc (Diversity Family Pharmacy)
• Diversity Health and Wellness (Chronic Cardz)
• Divine Care Home Health, Inc.
• Divine Healing and Family Counseling LLC

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

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