Manote Prommart

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1101 S 33Rd St
Broken Arrow, OK 74014-2929

Phone

(918) 497-8806

NPI assigned

Jan 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Manote Prommart Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MTF Counseling Resources, LLC

  • Community/Behavioral Health Agency
  • Coweta, OK
  • NPI 1326341306
  NPD Authorized official

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1619208063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 33RD ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142929",
            "telephone_number": "918-497-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 33RD ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142929",
            "telephone_number": "918-497-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROMMART",
        "first_name": "MANOTE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708360B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANOTE",
            "last_name": "PROMMART",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eva Lee Pritt
• Proactive Sport and Spine PLC
• Cole Andrew Proctor
• Maggie Capatha Proctor
• Professional Standards of Care, LLC
• Propel Physical Therapy
• Tania Rae Pryce, M.S.
• Psychological Rehabilitation & Consulting, Inc.
• Psydoc LLC
• Rebecka Rayn Purdom

• Mental Health Counselor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.