Twenty-Nine 11 Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5641 Issued in OK

Legal business name

TWENTY-NINE 11 INC

Practice address

44038 East 45TH St
Shawnee, OK 74804-9683

Phone

(405) 827-2514

Fax

(405) 584-4038

NPI assigned

Mar 15, 2016

Last updated

Jan 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill J Newman, LPCNPI 1851667406

Title

Owner

Phone

(405) 337-0055

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Twenty-Nine 11 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Twenty-Nine 11, Inc.

  • Counselor
  • Shawnee, OK
  • NPI 1235680984
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Newman

  • Mental Health Counselor
  • Shawnee, OK
  • NPI 1851667406
  NPD Authorized official

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1184085367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 S ROCK CREEK RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019626",
            "telephone_number": "405-760-6638",
            "fax_number": "405-481-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44038 EAST 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049683",
            "telephone_number": "405-827-2514",
            "fax_number": "405-584-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY-NINE 11 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-337-0055",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://jill-newman.clientsecure.me",
            "affiliation": "N",
            "address_1": "44038 East 45th St",
            "city": "Shawnee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748049683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Tucker
• Lielani M Tull
• Jeremiah Turner-Medlock
• John Robert Turner Jr., D.D.S.
• Sayble Paige Turner
• Twenty-Nine 11, Inc.
• Robin Gayle Underwood
• United Senior Properties of Shawnee, LLC (Avonlea Cottage of Shawnee)
• Unity Emergency Physicians, LLP (Mid America Emergency Physicians)
• Unity Physician Group

• Professional Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.