Odete Carneiro Phares, MS/HR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

22183 County Road 3 Dr
Stonewall, OK 74871-2021

Phone

(580) 265-4649

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quest MhsaGroup PAC ID 4688943657, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quest Mhsa

  • Community/Behavioral Health Agency
  • Antlers, OK
  • NPI 1174776819
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1245504430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22183 COUNTY ROAD 3 DR",
            "city": "STONEWALL",
            "state": "OK",
            "postal_code": "748712021",
            "telephone_number": "580-265-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22183 COUNTY ROAD 3 DR",
            "city": "STONEWALL",
            "state": "OK",
            "postal_code": "748712021",
            "telephone_number": "580-265-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARES",
        "first_name": "ODETE",
        "middle_name": "CARNEIRO",
        "credential": "MS/HR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Danielle Jade Carlis, RN
• Central Oklahoma Family Medical Center, Inc.
• Sherry Gail Davis-Bay
• IHS Stonegate Nursing Center Inc (Stonegate Nursing Center)
• Dena Musgraves
• Herbert Calvin Prince III, MSHR
• Michael Henry Reynolds II
• Megan Elizabeth Romines
• Stonewall Family Center
• U.S. Alert

• Mental Health Counselor in Stonewall, OK
• Providers in Stonewall, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.