Individual provider Active NPI

Tamara Stonebarger, LPC

  • Mental Health Counselor
  • Yukon, OK
National Provider Identifier
1275969768
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5764 Issued in OK
Practice address
428 S Mustang Rd
Yukon, OK 73099-6754
Phone
(405) 577-5477
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 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 Counselor 101YM0800X 5764 OK Primary

Addresses

Primary practice location

428 S Mustang Rd
Yukon, OK 73099-6754

Mailing address

1513 NW 126TH St
Oklahoma City, OK 73120-5088
Phone (703) 577-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5764OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara Stonebarger Counseling CurrentSince Jan 14, 2024 Accepting new patients
Core Counseling Mental Health Services PLLC Professional Past Accepting new patients

Locations

428 S Mustang Rd
Yukon, OK 73099
Phone (405) 577-5477

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1275969768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 NW 126TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205088",
            "telephone_number": "703-577-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996754",
            "telephone_number": "405-577-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBARGER",
        "first_name": "TAMARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.