Active NPI
Brett Paul Nungesser, MS, LPC-C
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1477298339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10994
- Practice address
- 2617 General Pershing Blvd
Oklahoma City, OK 73107-6437 - Phone
- (405) 858-2783
- NPI assigned
- May 4, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10994 | OK | Primary |
Addresses
Primary practice location
2617 General Pershing Blvd
Oklahoma City, OK 73107-6437
Mailing address
5721 SE 86TH St
Oklahoma City, OK 73135-6003
Phone (580) 595-0144
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10994 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1477298339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5721 SE 86TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731356003",
"telephone_number": "580-595-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 GENERAL PERSHING BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076437",
"telephone_number": "405-858-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNGESSER",
"first_name": "BRETT",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "MS, LPC-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-04",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "10994",
"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 Sep 12, 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.