Active NPI
Ktara Danelle Brinkley
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1588976344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4152
- Practice address
- 3005 NW 63Rd St
Oklahoma City, OK 73116-3603 - Phone
- (405) 521-1755
- Fax
- (405) 521-1138
- NPI assigned
- Jul 9, 2010
- Last updated
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4152 | OK | Primary |
Addresses
Primary practice location
3005 NW 63Rd St
Oklahoma City, OK 73116-3603
Mailing address
6520 Westrock Dr
Oklahoma City, OK 73132-2007
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Youth and Family Services | Past | Accepting new patients | |
| Covenant Youth and Family Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Ardmore, OK
- NPI 1518997097
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1780915157
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1871811547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1588976344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 WESTROCK DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731322007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 NW 63RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163603",
"telephone_number": "405-521-1755",
"fax_number": "405-521-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKLEY",
"first_name": "KTARA",
"middle_name": "DANELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "4152",
"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 Jul 9, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.