Individual provider Active NPI

Dana M Hargus, L.P.C.

  • Professional Counselor
  • Ada, OK
National Provider Identifier
1164468914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2769 Issued in OK
Practice address
2100 N Broadway Ave
Ada, OK 74820-1048
Phone
(580) 436-7120
Fax
(580) 436-7121
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2769 OK Primary

Addresses

Primary practice location

2100 N Broadway Ave
Ada, OK 74820-1048

Mailing address

2100 N Broadway Ave
Ada, OK 74820-1048
Phone (580) 436-7120

Other identifiers 1

IdentifierTypeStateIssuer
488163OtherOKVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129000296 OK Practitioner - Mental Health Counselor 4082986674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Biofeedback and Counseling IncGroup PAC ID 9739480955, 10 clinicians

Practice addresses (Care Compare)

2100 N Broadway Ave
Ada, OK 74820-1048
Phone (580) 436-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2769OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Biofeedback & Counseling, Inc. Professional CurrentSince Jul 23, 2001 Accepting new patients

Locations

2100 N Broadway Ave
Ada, OK 74820
Phone (580) 436-7120

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164468914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120",
            "fax_number": "580-436-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120",
            "fax_number": "580-436-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGUS",
        "first_name": "DANA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "488163",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.