Individual provider Active NPI

Anje Newnam

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1376883629
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8753 S College Ave
Tulsa, OK 74137-2513
Phone
(405) 238-0216
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8753 S College Ave
Tulsa, OK 74137-2513

Mailing address

1433 Deer Chase Dr
Norman, OK 73071-3934
Phone (405) 238-0216

Other names 1

  • Anje Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 5, 2024 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Under the Canopy Current Accepting new patients
Partners in Wellness PLLC Mental Health CurrentSince Mar 3, 2024 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC Community/Behavioral Health Past Accepting new patients

Locations

5514 S Lewis Ave
Tulsa, OK 74105
Phone (918) 398-8779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1376883629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 DEER CHASE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730713934",
            "telephone_number": "405-238-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8753 S COLLEGE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372513",
            "telephone_number": "405-238-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWNAM",
        "first_name": "ANJE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJE",
            "last_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.