Active NPI
Terry Womack
- Counselor
- Oklahoma City, OK
National Provider Identifier
1568746972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5131 Classen Cir
Oklahoma City, OK 73118-4418 - Phone
- (405) 767-1126
- NPI assigned
- Oct 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5131 Classen Cir
Oklahoma City, OK 73118-4418
Mailing address
5416 Shalimar Dr
Oklahoma City, OK 73135-1530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080204251 | Medicaid | OK |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients |
Locations
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
1222 10th St
Ste 211
Woodward, OK 73801
Phone (580) 256-8615
Organizations & group practices 5
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.
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
- Community/Behavioral Health Agency
- Alva, OK
- NPI 1437222734
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- Medical Specialty Clinic/Center
- Woodward, OK
- NPI 1750456588
-
- Psychiatric Hospital
- Fort Supply, OK
- NPI 1922171701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1568746972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 SHALIMAR DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731351530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5131 CLASSEN CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184418",
"telephone_number": "405-767-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "TERRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080204251",
"state": "OK"
}
],
"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 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.