Active NPI
Mariam Gates-Robin
- Counselor
- Edmond, OK
National Provider Identifier
1306245378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6319
- Practice address
- 1985 W 33Rd St
Edmond, OK 73013 - Phone
- (405) 625-0862
- Fax
- (405) 285-6814
- NPI assigned
- Aug 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6319 | OK | Primary |
Addresses
Primary practice location
1985 W 33Rd St
Edmond, OK 73013
Mailing address
1985 W 33Rd St
Edmond, OK 73013-3875
Phone (405) 625-0862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306245378 | Medicaid | OK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6319 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1306245378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 W 33RD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133875",
"telephone_number": "405-625-0862",
"fax_number": "405-285-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 W 33RD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-625-0862",
"fax_number": "405-285-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES-ROBIN",
"first_name": "MARIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "6319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306245378",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.