Individual provider Active NPI

Jennifer Grace Brents, LPC

  • Mental Health Counselor
  • Hugo, OK
National Provider Identifier
1356496384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2553 Issued in OK
Practice address
117 E Main St
Hugo, OK 74743-6237
Phone
(580) 326-7477
Fax
(580) 326-6400
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2553 OK Primary

Addresses

Primary practice location

117 E Main St
Hugo, OK 74743-6237

Mailing address

413 N Broadway St
Hugo, OK 74743-3863
Phone (580) 326-8098

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
I20240223004106 OK Practitioner - Mental Health Counselor 9931544491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2553OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Counseling Center, LLC CurrentSince Feb 13, 2024 Accepting new patients
Four Seasons Counseling Services, Inc. PastSince Mar 13, 2016 Accepting new patients

Locations

100 N 5th St
Hugo, OK 74743
Phone (580) 326-9475

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356496384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N BROADWAY ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433863",
            "telephone_number": "580-326-8098",
            "fax_number": "580-326-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747436237",
            "telephone_number": "580-326-7477",
            "fax_number": "580-326-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTS",
        "first_name": "JENNIFER",
        "middle_name": "GRACE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

Verify at the official NPI Registry.