Organization Active NPI

Mary'S Mind Counseling

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1598544629
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mahogany Gaines, LCSWNPI 1629349527
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20231113001588 OK Part B Supplier - Clinic/Group Practice 7810344868 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.