Individual provider Active NPI

Leteecia V. Coffee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
National Provider Identifier
1215218979
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
437 W Wilshire Blvd Ste C
Oklahoma City, OK 73116-7747
Phone
(405) 843-2067
Fax
(405) 751-0110
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OK Primary

Addresses

Primary practice location

437 W Wilshire Blvd Ste C
Oklahoma City, OK 73116-7747

Mailing address

437 W Wilshire Blvd Ste C
Oklahoma City, OK 73116-7747
Phone (405) 843-2067

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gco_llc@yahoo.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance Counseling of Oklahoma LLC CurrentSince May 1, 2026 Accepting new patients
Southern Oklahoma Treatment Services, Inc Past Accepting new patients

Locations

437 W Wilshire Blvd
Ste C
Oklahoma City, OK 73116
Phone (405) 274-3025

Organizations & group practices 2

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1215218979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W WILSHIRE BLVD STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167747",
            "telephone_number": "405-843-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W WILSHIRE BLVD STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167747",
            "telephone_number": "405-843-2067",
            "fax_number": "405-751-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEE",
        "first_name": "LETEECIA",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2024-07-31",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gco_llc@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "437 W Wilshire Blvd Ste C",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731167747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 31, 2024; 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.