Individual provider Active NPI

Carolyn Jean Greenwood, LMFT, LADC

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1295952240
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
835 Issued in OK
Practice address
1418 Linwood Blvd
Oklahoma City, OK 73106-5022
Phone
(405) 601-0295
Fax
(405) 601-0316
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 516 OK
Marriage & Family Therapist 106H00000X 835 OK Primary

Addresses

Primary practice location

1418 Linwood Blvd
Oklahoma City, OK 73106-5022

Mailing address

1418 Linwood Blvd
Oklahoma City, OK 73106-5022
Phone (405) 601-0295

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
516OKMDPsychologist
835OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reach for the Light, Inc Addiction (Substance Use Disorder) Past Accepting new patients

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1295952240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 LINWOOD BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065022",
            "telephone_number": "405-601-0295",
            "fax_number": "405-601-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 LINWOOD BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065022",
            "telephone_number": "405-601-0295",
            "fax_number": "405-601-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "516",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.