Individual provider Active NPI

Marisa Peters Pate, M. ED.

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1184979866
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9005 N Roxbury Ter
Oklahoma City, OK 73132-3512
Phone
(405) 831-5177
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

9005 N Roxbury Ter
Oklahoma City, OK 73132-3512

Mailing address

9005 N Roxbury Ter
Oklahoma City, OK 73132-3512
Phone (405) 831-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1184979866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 N ROXBURY TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323512",
            "telephone_number": "405-831-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 N ROXBURY TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323512",
            "telephone_number": "405-831-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS PATE",
        "first_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "M. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.