Active NPI
Jan K. Feuerborn, LCSW
- Mental Health Counselor
- Norman, OK
National Provider Identifier
1376866715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3307
- Practice address
- 123 E Tonhawa St
Suite 100
Norman, OK 73069-7209 - Phone
- (405) 627-4608
- Fax
- (405) 701-3399
- NPI assigned
- Mar 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3307 | OK | Primary |
Addresses
Primary practice location
123 E Tonhawa St
Suite 100
Norman, OK 73069-7209
Mailing address
123 E Tonhawa St
Suite 100
Norman, OK 73069-7209
Phone (405) 627-4608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200345190A | Medicaid | OK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3307 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1376866715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E TONHAWA ST",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730697209",
"telephone_number": "405-627-4608",
"fax_number": "405-701-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E TONHAWA ST",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730697209",
"telephone_number": "405-627-4608",
"fax_number": "405-701-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEUERBORN",
"first_name": "JAN",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "3307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200345190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.