NPIMap

Organization Active NPI

MTF Counseling Resources, LLC

  • Community/Behavioral Health Agency
  • Coweta, OK
National Provider Identifier
1326341306
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MTF COUNSELING RESOURCES, LLC
Practice address
324 E Chestnut St
Coweta, OK 74429-2532
Phone
(918) 279-6565
Fax
(918) 279-6551
NPI assigned
Dec 13, 2010
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Mr. Manote Prommart, LPCCNPI 1619208063
Title
Marketing Director
Phone
(918) 497-8806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

324 E Chestnut St
Coweta, OK 74429-2532

Mailing address

324 E Chestnut St
Coweta, OK 74429-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110906000206 OK Part B Supplier - Clinic/Group Practice 8325218100 Receives reassigned benefits from 9 practitioners
Practice locations: Coweta, OK

National Provider Directory

National Provider Directory

Locations

324 E Chestnut St
Coweta, OK 74429
Phone (918) 279-6565

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1326341306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E CHESTNUT ST",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E CHESTNUT ST",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292532",
            "telephone_number": "918-279-6565",
            "fax_number": "918-279-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTF COUNSELING RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "PROMMART",
        "authorized_official_first_name": "MANOTE",
        "authorized_official_title_or_position": "MARKETING DIRECTOR",
        "authorized_official_telephone_number": "918-497-8806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coweta, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.