Individual provider Active NPI

Dana Juarez, MA, LMFT

  • Marriage & Family Therapist
  • Altus, OK
National Provider Identifier
1376941732
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1350 Issued in OK
Practice address
220 N Main St
C/O 300 N Main
Altus, OK 73521-7352
Phone
(580) 482-0230
NPI assigned
Dec 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 1350 OK Primary

Addresses

Primary practice location

220 N Main St
C/O 300 N Main
Altus, OK 73521-7352

Mailing address

220 N Main St
C/O 300 N Main St
Altus, OK 73521
Phone (843) 476-8385

Other practice location 1

2100 N Louis Tittle
Mangum, OK 73554
Phone (866) 926-6552

Other practice location 2

327 SW C Ave
Lawton, OK 73501-4016
Phone (580) 280-1988

Other identifiers 1

IdentifierTypeStateIssuer
100739030AMedicaidOK

Other names 1

  • Miss Dana Weeman Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1350OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral Health Inc Current Accepting new patients
Beacon Behavioral Health Inc Current Accepting new patients

Locations

327 SW C Ave
Lawton, OK 73501
Phone (580) 248-5436

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1376941732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "address_2": "C/O 300 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "843-476-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "address_2": "C/O 300 N MAIN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735217352",
            "telephone_number": "580-482-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Louis Tittle",
            "address_purpose": "LOCATION",
            "city": "Mangum",
            "state": "OK",
            "postal_code": "73554",
            "country_code": "US",
            "telephone_number": "866-926-6552",
            "fax_number": "580-706-2439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 SW C Ave",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735014016",
            "country_code": "US",
            "telephone_number": "580-280-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100739030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "WEEMAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.