Individual provider Active NPI

Clifford Okere

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1316245194
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3535 NW 58TH St Ste 810
Oklahoma City, OK 73112-4810
Phone
(405) 706-5546
NPI assigned
Mar 3, 2011
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3535 NW 58TH St Ste 810
Oklahoma City, OK 73112-4810

Mailing address

3535 NW 58TH St Ste 810
Oklahoma City, OK 73112-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260414001256 OK Practitioner - Mental Health Counselor 5294201687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12309 Nittany Dr
Oklahoma City, OK 73120-5127

1625 Greenbriar PL
Suite 700
Oklahoma City, OK 73159-7645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1316245194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 810",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 810",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124810",
            "telephone_number": "405-706-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERE",
        "first_name": "CLIFFORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.