Patrick Elifritz
Individual provider Active NPI Mental Health Counselor · Bokoshe, OK
NPI 1154526432 · NPPES record last updated Mar 27, 2008
Key facts
- NPI
- 1154526432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 301 Joy Dr
Bokoshe, OK 74930-2504 - Phone
- (918) 962-9939
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2430 | OK | MD | Pediatric Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
301 Joy Dr
Bokoshe, OK 74930-2504
Mailing address
301 Joy Dr
Bokoshe, OK 74930-2504
Phone (918) 962-9939
Other providers in Bokoshe, OK
All providers in Bokoshe, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.