Individual provider Active NPI

Patience Ndekwe

  • Addiction (Substance Use Disorder) Counselor
  • Lawton, OK
National Provider Identifier
1386068005
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3805 W Gore Blvd
Lawton, OK 73505-6334
Phone
(580) 215-8694
Fax
(580) 581-1285
NPI assigned
Feb 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X

Addresses

Primary practice location

3805 W Gore Blvd
Lawton, OK 73505-6334

Mailing address

16949 SW Lee Blvd
Cache, OK 73527-3021
Phone (580) 215-8694

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry-Norbert Ndekwe MD PC CurrentSince Nov 6, 2008 Accepting new patients
Advanced Health Systems of America, PC Current Accepting new patients

Locations

3805 W Gore Blvd
Lawton, OK 73505
Phone (580) 215-8694

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": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1386068005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16949 SW LEE BLVD",
            "city": "CACHE",
            "state": "OK",
            "postal_code": "735273021",
            "telephone_number": "580-215-8694",
            "fax_number": "580-581-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056334",
            "telephone_number": "580-215-8694",
            "fax_number": "580-581-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEKWE",
        "first_name": "PATIENCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.