Victor Olivencia, CBHCM-DC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5 SW D Ave
Suite a
Lawton, OK 73501-4619

Phone

(580) 250-1222

Fax

(580) 250-1795

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598960346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122212",
            "telephone_number": "405-858-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SW D AVE",
            "address_2": "SUITE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014619",
            "telephone_number": "580-250-1222",
            "fax_number": "580-250-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVENCIA",
        "first_name": "VICTOR",
        "credential": "CBHCM-DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Mental Health Council
• Oklahoma Physical Therapy Lawton Spine Care Sports Rehab LLC
• Oklahoma State Department of Health
• Oladipo Igbekoyi MD PLLC
• Folake Esther Olaosebikan, MBBS
• Kaitlin Oliver, DO
• Olivo Mental Health, PLLC
• Ismael A Olivo-Montalvo
• Jose Andres Olivo
• Adeyem Olurotimi Oloyede, COTA/L

• Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.