Individual provider Active NPI

Ronald M Butler Jr., LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1487829321
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3975 Issued in OK
Practice address
6608 N Western Ave
252
Oklahoma City, OK 73116-7326
Phone
(405) 605-5934
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3975 OK
Addiction (Substance Use Disorder) Counselor 101YA0400X 3975 OK
Mental Health Counselor 101YM0800X 3975 OK
Professional Counselor 101YP2500X 3975 OK Primary

Addresses

Primary practice location

6608 N Western Ave
252
Oklahoma City, OK 73116-7326

Mailing address

301 W Britton Rd Unit 14179
Oklahoma City, OK 73113-4702
Phone (405) 914-4700

Other practice location 1

1229 Live Oak Dr
Oklahoma City, OK 73110-1309
Phone (405) 914-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12610TXMDChiropractor
3975OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Counseling & Therapy, LLC CurrentSince Nov 21, 2021 Accepting new patients

Locations

301 W Britton Rd
Unit 14179
Oklahoma City, OK 73113

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1487829321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BRITTON RD UNIT 14179",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731134702",
            "telephone_number": "405-914-4700",
            "fax_number": "405-914-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 N WESTERN AVE",
            "address_2": "252",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167326",
            "telephone_number": "405-605-5934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Live Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731101309",
            "country_code": "US",
            "telephone_number": "405-914-4700",
            "fax_number": "405-914-4706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "3975",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "3975",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3975",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.