Organization Active NPI

Peoples Family Counseling LLC

  • Counselor
  • Oologah, OK
National Provider Identifier
1417415423
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PEOPLES FAMILY COUNSELING LLC
Practice address
12834 Old US 169
Oologah, OK 74053-7405
Phone
(918) 695-2059
Fax
(918) 221-7975
NPI assigned
Mar 8, 2019
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Brandy Peoples, LPCNPI 1295042612
Title
Owner
Phone
(918) 695-2059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

12834 Old US 169
Oologah, OK 74053-7405

Mailing address

12834 Old US Hwy 169
Oologah, OK 74053-0773
Phone (918) 695-2059

Other practice location 1

504 E 4th St
Bartlesville, OK 74003-3905
Phone (918) 695-2059

Other identifiers 2

IdentifierTypeStateIssuer
200899340AMedicaidOK
200899340BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325000542 OK Part B Supplier - Clinic/Group Practice 3173046794 Receives reassigned benefits from 4 practitioners
Practice locations: Oologah, OK

National Provider Directory

National Provider Directory
Tax ID family
Peoples Family Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

504 E 4th St
Bartlesville, OK 74003
Phone (918) 695-2059

12834 S Old Highway 169
Oologah, OK 74053
Phone (918) 695-2059

165 W Cooweescoowee Ave
Unit A
Oologah, OK 74053

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1417415423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12834 OLD US HWY 169",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740530773",
            "telephone_number": "918-695-2059",
            "fax_number": "918-221-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12834 OLD US 169",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740537405",
            "telephone_number": "918-695-2059",
            "fax_number": "918-221-7975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740033905",
            "country_code": "US",
            "telephone_number": "918-695-2059",
            "fax_number": "918-221-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEOPLES FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-695-2059",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200899340A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200899340B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "address_1": "504 E 4th St",
            "city": "Bartlesville",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740033905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oologah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.