Michael Johneel Fenner Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3035 NW 63Rd St Ste 201
Oklahoma City, OK 73116-3606

Phone

(405) 842-8801

NPI assigned

May 25, 2010

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1356660781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163606",
            "telephone_number": "405-842-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163606",
            "telephone_number": "405-842-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNER",
        "first_name": "MICHAEL",
        "middle_name": "JOHNEEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Storm Fene, MD
• Yan Feng, MD, PHD
• Avery Joel Fennell
• Jonathan Allen Fennell
• Zachary Fennell
• Shante L Fenner
• Matthew Fenton, CRNA
• Timothy Fenton, LADC/MH
• Beverly K. Fentress, RPT
• Mark A Fergeson, MD

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, 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 Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.