Active NPI
Breanna Lee Womack, LPC-S, NCC
- Mental Health Counselor
- Poteau, OK
National Provider Identifier
1194160036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC06229
- Practice address
- 5 Kerr Avenue
Poteau, OK 74953-2538 - Phone
- (580) 740-9369
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC06229 | OK | Primary |
Addresses
Primary practice location
5 Kerr Avenue
Poteau, OK 74953-2538
Mailing address
PO Box 87
Poteau, OK 74953-0087
Phone (918) 839-7590
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1194160036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "POTEAU",
"state": "OK",
"postal_code": "749530087",
"telephone_number": "918-839-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 KERR AVENUE",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532538",
"telephone_number": "580-740-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "BREANNA",
"middle_name": "LEE",
"credential": "LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "LPC06229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.