Individual provider Active NPI

Yazmine Alvarado Godinez, LMFT

  • Marriage & Family Therapist
  • Claremore, OK
National Provider Identifier
1417489907
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
12011 W. Lowry Road
Claremore, OK 74017-3737
Phone
(918) 704-7386
Fax
(918) 342-0087
NPI assigned
Apr 3, 2017
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

12011 W. Lowry Road
Claremore, OK 74017-3737

Mailing address

12011 W. Lowry Road
Claremore, OK 74017-3737
Phone (918) 704-7386

Other practice location 1

6440 S Lewis Ave Ste 2900
Tulsa, OK 74136-1032
Phone (918) 280-9188

Other names 1

  • Yasmine Alvarado Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407002367 OK Practitioner - Marriage and Family Therapist 3971027335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc PastSince Feb 18, 2024 Accepting new patients
Grand Lake Mental Health Center Inc PastSince Feb 18, 2024 Accepting new patients

Locations

3100 Medical Pkwy
Claremore, OK 74017
Phone (539) 242-3322

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1417489907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 W. LOWRY ROAD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173737",
            "telephone_number": "918-704-7386",
            "fax_number": "918-342-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 W. LOWRY ROAD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173737",
            "telephone_number": "918-704-7386",
            "fax_number": "918-342-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 S Lewis Ave Ste 2900",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361032",
            "country_code": "US",
            "telephone_number": "918-280-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "YAZMINE",
        "middle_name": "ALVARADO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASMINE",
            "last_name": "ALVARADO",
            "credential": "LMFT CANDIDATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.