Organization Active NPI

Marissa W. Yeaman, PLLC

  • Mental Health Counselor
  • Norman, OK
National Provider Identifier
1578024469
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARISSA W. YEAMAN, PLLC
Practice address
2500 McGee Dr Ste 126
Norman, OK 73072-6705
Phone
(405) 602-4736
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Marissa W Yeaman, M.ED., LPCNPI 1821515230
Title
Therapist
Phone
(405) 602-4736

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2500 McGee Dr Ste 126
Norman, OK 73072-6705

Mailing address

4008 Morain CT
Norman, OK 73072-5020
Phone (405) 602-4736

National Provider Directory

National Provider Directory

Locations

2500 McGee Dr
Ste 119
Norman, OK 73072

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1578024469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 MORAIN CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725020",
            "telephone_number": "405-602-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MCGEE DR STE 126",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726705",
            "telephone_number": "405-602-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA W. YEAMAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "YEAMAN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-602-4736",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.