Glenbrook Mental Health Agency

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GLENBROOK MENTAL HEALTH AGENCY

Practice address

6440 Avondale Dr Ste 20018
Nichols Hills, OK 73116-6421

Phone

(602) 622-1078

NPI assigned

Sep 15, 2022

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Kennedy, LMSWNPI 1386220713

Title

Owner

Phone

(602) 622-1078

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Ann Kennedy, LMSW

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1386220713
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1306568308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 GLENBROOK CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181019",
            "telephone_number": "602-622-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 AVONDALE DR STE 20018",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166421",
            "telephone_number": "602-622-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENBROOK MENTAL HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-622-1078",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Nichols Hills, OK
• Providers in Nichols Hills, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.