Active NPI
Amy Malin
- Counselor
- Broken Arrow, OK
National Provider Identifier
1396024774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8937 S Garnett Rd
Broken Arrow, OK 74012-6018 - Phone
- (918) 872-9777
- Fax
- (918) 872-9779
- NPI assigned
- Aug 16, 2011
- Last updated
- Feb 26, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
8937 S Garnett Rd
Broken Arrow, OK 74012-6018
Mailing address
6301 E 41St St
Tulsa, OK 74135-6103
Phone (918) 289-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8937 S Garnett Rd
Broken Arrow, OK 74012-6004
Phone (918) 872-9777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey K McIlroy MD Inc | Current | Accepting new patients |
Locations
8937 S Garnett Rd
Broken Arrow, OK 74012
Phone (918) 342-2622
2990 N Sioux Ave
Claremore, OK 74017
Phone (918) 342-2622
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Claremore, OK
- NPI 1053531830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1396024774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741356103",
"telephone_number": "918-289-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8937 S GARNETT RD",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126018",
"telephone_number": "918-872-9777",
"fax_number": "918-872-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIN",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
- Magna Home Health Care Inc.
- Magna Home Health Care Inc.
- Magna Home Health Care Inc.
- Make a Move Association (Alliance Home Health Care Agency)
- Belkis De Los Santos Malave
- Jodi Malone, OTR/L
- Gamaliel Mananga
- Summer Ladon Maner
- Manhattan Management (Breakthrough Counseling)
- Manhattan Management Counseling and Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.