Active NPI
Mary'S Mind Counseling
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1598544629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MARY'S MIND COUNSELING
- Practice address
- 1108 NW 116TH St
Oklahoma City, OK 73114-8040 - Phone
- (405) 551-7118
- NPI assigned
- Sep 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahogany Gaines, LCSW
- Title
- Owner
- Phone
- (405) 551-7118
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1108 NW 116TH St
Oklahoma City, OK 73114-8040
Mailing address
PO Box 6311
Edmond, OK 73083-6311
Phone (405) 551-7118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1108 NW 116th St
Oklahoma City, OK 73114
Phone (405) 551-7118
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": "1695772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1598544629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6311",
"city": "EDMOND",
"state": "OK",
"postal_code": "730836311",
"telephone_number": "405-551-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 NW 116TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731148040",
"telephone_number": "405-551-7118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY'S MIND COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "GAINES",
"authorized_official_first_name": "MAHOGANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-551-7118",
"authorized_official_credential": "LCSW"
},
"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 Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.