Organization Active NPI

Twelfth House Wellness LLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1518585595
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TWELFTH HOUSE WELLNESS LLC
Practice address
616 NW 21St St Ste 107
Oklahoma City, OK 73103-1861
Phone
(405) 999-7525
NPI assigned
Jul 7, 2020
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Sarah Paige Whitewater, OK LPC #7013NPI 1922377225
Title
Owner/Clinical Director
Phone
(405) 999-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

616 NW 21St St Ste 107
Oklahoma City, OK 73103-1861

Mailing address

616 NW 21St St Ste 107
Oklahoma City, OK 73103-1861
Phone (405) 999-7525

National Provider Directory

National Provider Directory

Locations

1020 NW 21st St
Ste F
Oklahoma City, OK 73106

616 NW 21st St
Ste 107
Oklahoma City, OK 73103
Phone (405) 999-7525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1518585595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 NW 21ST ST STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031861",
            "telephone_number": "405-999-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 NW 21ST ST STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031861",
            "telephone_number": "405-999-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELFTH HOUSE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "WHITEWATER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-999-7525",
        "authorized_official_credential": "OK LPC #7013"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.