Active NPI
Tricia Robertson Weber, LPC
- Counselor
- Yukon, OK
National Provider Identifier
1366724221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3676
- Practice address
- 373 S Yukon Pkwy Ste a&B
Yukon, OK 73099-4596 - Phone
- (405) 810-0054
- Fax
- (405) 810-8977
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3676 | OK | |
| Counselor | 101Y00000X | 3676 | OK | Primary |
Addresses
Primary practice location
373 S Yukon Pkwy Ste a&B
Yukon, OK 73099-4596
Mailing address
373 S Yukon Pkwy Ste a&B
Yukon, OK 73099-4596
Phone (405) 810-0054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3676 | Other | OK | OKLAHOMA STATE DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3676 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1366724221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 S YUKON PKWY STE A&B",
"city": "YUKON",
"state": "OK",
"postal_code": "730994596",
"telephone_number": "405-810-0054",
"fax_number": "405-810-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S YUKON PKWY STE A&B",
"city": "YUKON",
"state": "OK",
"postal_code": "730994596",
"telephone_number": "405-810-0054",
"fax_number": "405-810-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON WEBER",
"first_name": "TRICIA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3676",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "3676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE DEPARTMENT OF HEALTH",
"identifier": "3676",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.