Active NPI
Genevieve Anderson, LCSW
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1386021764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4579
- Practice address
- 3838 NW 36TH St Ste 200
Oklahoma City, OK 73112-2916 - Phone
- (405) 702-9032
- Fax
- (405) 702-9031
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 4579 | OK | Primary |
Addresses
Primary practice location
3838 NW 36TH St Ste 200
Oklahoma City, OK 73112-2916
Mailing address
748 Dana Dr
Yukon, OK 73099-1049
Phone (904) 338-2176
Other practice location 1
940 NE 13th St Ste 3000
Oklahoma City, OK 73104-5008
Phone (405) 271-7498 ext. 50439
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 |
|---|---|---|---|
| 4579 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concepts in Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1639300213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386021764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 DANA DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730991049",
"telephone_number": "904-338-2176",
"fax_number": "405-702-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 NW 36TH ST STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122916",
"telephone_number": "405-702-9032",
"fax_number": "405-702-9031"
}
],
"practiceLocations": [
{
"address_1": "940 NE 13th St Ste 3000",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045008",
"country_code": "US",
"telephone_number": "405-271-7498 x50439",
"fax_number": "405-271-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "GENEVIEVE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "4579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.