Active NPI
Rhonda Gayle Harrison
- Mental Health Counselor
- Tishomingo, OK
National Provider Identifier
1487910949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5817
- Practice address
- 817 E. 6TH St.
Medical Family Therapy
Tishomingo, OK 73460 - Phone
- (580) 795-7344
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5817 | OK | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
817 E. 6TH St.
Medical Family Therapy
Tishomingo, OK 73460
Mailing address
210 E. Main St.
Resource Management
Ada, OK 74820
Phone (580) 436-7211
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 |
|---|---|---|---|
| 5817 | OK | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1487910949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E. MAIN ST.",
"address_2": "RESOURCE MANAGEMENT",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-7211",
"fax_number": "580-272-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E. 6TH ST.",
"address_2": "MEDICAL FAMILY THERAPY",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "73460",
"telephone_number": "580-795-7344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "RHONDA",
"middle_name": "GAYLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "5817",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tishomingo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.