Active NPI
Brooke D Havel
- Counselor
- Oklahoma City, OK
National Provider Identifier
1477089720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107 - Phone
- (405) 425-0442
- Fax
- (405) 419-3042
- NPI assigned
- May 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 261QM0801X | OK | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107
Mailing address
4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107
Phone (405) 425-0442
Other practice location 1
202639 E County Road 42
Woodward, OK 73801-5442
Phone (580) 808-2018
Other practice location 2
1095 Nickerson St
Waynoka, OK 73860-1252
Phone (580) 824-0674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261QM0801X | Other | OK | CASE MANAGEMENT / CARE COORDINATOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261QM0801X | OK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1477089720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055107",
"telephone_number": "405-425-0442",
"fax_number": "405-419-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055107",
"telephone_number": "405-425-0442",
"fax_number": "405-419-3042"
}
],
"practiceLocations": [
{
"address_1": "202639 E County Road 42",
"address_purpose": "LOCATION",
"city": "Woodward",
"state": "OK",
"postal_code": "738015442",
"country_code": "US",
"telephone_number": "580-808-2018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1095 Nickerson St",
"address_purpose": "LOCATION",
"city": "Waynoka",
"state": "OK",
"postal_code": "738601252",
"country_code": "US",
"telephone_number": "580-824-0674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVEL",
"first_name": "BROOKE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-05",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "261QM0801X",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANAGEMENT / CARE COORDINATOR",
"identifier": "261QM0801X",
"state": "OK"
}
],
"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 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.