Individual provider Active NPI

Brandy Lee Whaler, LADC-MH, LMSW/ MSW

  • Addiction (Substance Use Disorder) Counselor
  • Kansas, OK
National Provider Identifier
1295344166
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1470 Issued in OK
Practice address
282 S Hwy 10
Kansas, OK 74347
Phone
(918) 868-8120
Fax
(918) 525-0013
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1470 OK Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7966 OK

Addresses

Primary practice location

282 S Hwy 10
Kansas, OK 74347

Mailing address

6567 E 583 Rd
Rose, OK 74364-1223
Phone (918) 506-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260105003274 TX Practitioner - Clinical Social Worker 2163918665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Echota Behavioral Health Services LLCGroup PAC ID 2264928746, 9 clinicians

Practice addresses (Care Compare)

16414 W 760 Rd
Tahlequah, OK 74464-1675
Phone (918) 708-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1470OKMDExercise & Sports Psychologist
7966OKMDClinical Social Worker
20839OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Echota Behavioral Health Services, LLC Multi-Specialty CurrentSince Sep 23, 2025 Accepting new patients

Locations

282 State Highway 10
Kansas, OK 74347
Phone (918) 509-3528

16414 W 760 Rd
Tahlequah, OK 74464
Phone (918) 537-4482

Organizations & group practices 1

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1295344166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E 583 RD",
            "city": "ROSE",
            "state": "OK",
            "postal_code": "743641223",
            "telephone_number": "918-506-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 S HWY 10",
            "city": "KANSAS",
            "state": "OK",
            "postal_code": "74347",
            "telephone_number": "918-868-8120",
            "fax_number": "918-525-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALER",
        "first_name": "BRANDY",
        "middle_name": "LEE",
        "credential": "LADC-MH, LMSW/ MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1470",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas, OK

Sources for this page

Verify at the official NPI Registry.