Individual provider Active NPI

Ieashia Micole Briggs Buckner

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1346571023
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LADC, UNDER SUPERVIS Issued in OK
Practice address
312 NE 28TH St
Suite 101
Oklahoma City, OK 73105-2804
Phone
(405) 231-3150
Fax
(405) 231-3157
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LADC, UNDER SUPERVIS OK Primary

Addresses

Primary practice location

312 NE 28TH St
Suite 101
Oklahoma City, OK 73105-2804

Mailing address

312 NE 28TH St
Suite 101
Oklahoma City, OK 73105-2804
Phone (405) 231-3150

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
LADC, UNDER SUPERVISOKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1346571023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NE 28TH ST",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052804",
            "telephone_number": "405-231-3150",
            "fax_number": "405-231-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NE 28TH ST",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052804",
            "telephone_number": "405-231-3150",
            "fax_number": "405-231-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS BUCKNER",
        "first_name": "IEASHIA",
        "middle_name": "MICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LADC, UNDER SUPERVIS",
            "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 Jan 20, 2010; 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.