Individual provider Active NPI

Akemi D Malgonkar, THERAPIST

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1164743910
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5714 S Western Ave
Oklahoma City, OK 73109-4515
Phone
(405) 601-1154
Fax
(405) 601-1183
NPI assigned
Jun 16, 2010
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5714 S Western Ave
Oklahoma City, OK 73109-4515

Mailing address

5714 S Western Ave
Oklahoma City, OK 73109-4515
Phone (405) 601-1154

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
I20240625001636 OK Practitioner - Mental Health Counselor 1850834300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy Solutions of Oklahoma, LLCGroup PAC ID 2264808211, 22 clinicians

Practice addresses (Care Compare)

620 NW 5TH St D
Main Office
Moore, OK 73160-3947
Phone (405) 208-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Jan 2, 2026 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344

620 NW 5th St
Ste D
Moore, OK 73160

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 467-9477

4801 Gaillardia Pkwy
Ste 200
Oklahoma City, OK 73142
Phone (405) 456-0101

9212 N Kelley Ave
#200
Oklahoma City, OK 73131
Phone (405) 242-5070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1164743910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094515",
            "telephone_number": "405-601-1154",
            "fax_number": "405-601-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094515",
            "telephone_number": "405-601-1154",
            "fax_number": "405-601-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALGONKAR",
        "first_name": "AKEMI",
        "middle_name": "D",
        "credential": "THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "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

Verify at the official NPI Registry.