Organization Active NPI

Vivacity Counseling, PLLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1396236477
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6363 Issued in OK
Legal business name
VIVACITY COUNSELING, PLLC
Practice address
1211 N Shartel Ave Ste 405
Oklahoma City, OK 73103-2425
Phone
(405) 977-0505
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Marlon Breaux, M. ED., LPC
Title
Owner/Counselor
Phone
(405) 365-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6363 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 405
Oklahoma City, OK 73103-2425

Mailing address

2013 NW 22ND St
Oklahoma City, OK 73106-1617
Phone (405) 365-5082

National Provider Directory

National Provider Directory

Locations

1211 N Shartel Ave
Ste 405
Oklahoma City, OK 73103
Phone (405) 236-4700

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1396236477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 NW 22ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731061617",
            "telephone_number": "405-365-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 405",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-977-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVACITY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "405-365-5082",
        "authorized_official_credential": "M. ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6363",
            "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 May 23, 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.

Verify at the official NPI Registry.