Active NPI
Brandy Lee Whaler, LADC-MH, LMSW/ MSW
- Addiction (Substance Use Disorder) Counselor
- Kansas, OK
National Provider Identifier
1295344166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1470 | OK | Primary |
| Clinical Social Worker | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1470 | OK | MD | Exercise & Sports Psychologist |
| 7966 | OK | MD | Clinical Social Worker |
| 20839 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Echota Behavioral Health Services, LLC | Multi-Specialty | Current | 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.
-
- Community/Behavioral Health Agency
- Tahlequah, OK
- NPI 1407477920
Multi-Specialty, TX
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.