Individual provider Active NPI

Alexis Grant, LMFT , CM II

  • Marriage & Family Therapist
  • Lawton, OK
National Provider Identifier
1497299473
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1201 Issued in OK
Practice address
807 SW F Ave
Lawton, OK 73501-4506
Phone
(580) 284-8036
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 1201 OK Primary

Addresses

Primary practice location

807 SW F Ave
Lawton, OK 73501-4506

Mailing address

3821 NW Bell Ave
Lawton, OK 73505-4960
Phone (580) 284-8036

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
I20240620002230 OK Practitioner - Marriage and Family Therapist 4688011703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Community Services, Inc.Group PAC ID 6507855517, 5 clinicians

Practice addresses (Care Compare)

6100 S Walker Ave
Oklahoma City, OK 73139-7026
Phone (405) 634-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Community Services, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Cornerstone Clinical Services Past Accepting new patients

Locations

6100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 510-3847

Organizations & group practices 3

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1497299473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 NW BELL AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054960",
            "telephone_number": "580-284-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-284-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ALEXIS",
        "credential": "LMFT , CM II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.