Organization Active NPI

Nurture and Bloom Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
National Provider Identifier
1558040030
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NURTURE AND BLOOM THERAPY LLC
Practice address
629 W Main St # 1035
Oklahoma City, OK 73102-2221
Phone
(405) 901-1793
Fax
(405) 351-4247
NPI assigned
Jul 13, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karen Durham, LCSWNPI 1043900293
Title
Owner
Phone
(405) 901-1793

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1400 SW 89th St
Ste 202
Oklahoma City, OK 73159

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

629 W Main St # 1035
Oklahoma City, OK 73102-2221

Mailing address

629 W Main St # 1035
Oklahoma City, OK 73102-2221
Phone (405) 901-1793

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2023.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1558040030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST # 1035",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221",
            "telephone_number": "405-901-1793",
            "fax_number": "405-351-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST # 1035",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221",
            "telephone_number": "405-901-1793",
            "fax_number": "405-351-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE AND BLOOM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-901-1793",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Oct 21, 2023; 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.