Active NPI
Leteecia V. Coffee
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oklahoma City, OK
National Provider Identifier
1215218979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidance Counseling of Oklahoma LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1427483148
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1619313954
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.