Twenty-Nine 11, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5641 Issued in OK

Legal business name

TWENTY-NINE 11, INC.

Practice address

1605 N Harrison St
Shawnee, OK 74804-4022

Phone

(405) 765-3789

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jill Janae Newman, LPCNPI 1851667406

Title

Licensed Professional Counselor

Phone

(405) 401-5215

Specialties & licenses 1

Addresses

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

  • Professional Counselor
  • Shawnee, OK
  • NPI 1184085367
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1235680984",
    "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": "405-401-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044022",
            "telephone_number": "405-765-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY-NINE 11, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JANAE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-401-5215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OK",
            "license": "5641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Unity Emergency Physicians, LLP
• Unity Physician Group
• University Family Dentistry PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.