Individual provider Active NPI

Pamela Louise Brauchi, LPR, ATR

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1619927381
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3057 Issued in OK
Practice address
5525 E 51St St
Suite #400
Tulsa, OK 74135-7461
Phone
(918) 388-6279
Fax
(918) 388-6456
NPI assigned
May 11, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 03-195 NC
Professional Counselor 101YP2500X 3057 OK Primary

Addresses

Primary practice location

5525 E 51St St
Suite #400
Tulsa, OK 74135-7461

Mailing address

5806 S Atlanta Ave
Tulsa, OK 74105-7530
Phone (918) 749-0944

Other practice location 1

6440 S Lewis Ave Ste 2200
Tulsa, OK 74136-1060
Phone (918) 712-0859

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001280 OK Practitioner - Mental Health Counselor 9032567144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

2114 SE Washington Blvd
Bartlesville, OK 74006-7254
Phone (918) 876-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03-195NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc. Current Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

900 E Laharpe St
Kirksville, MO 63501

2114 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 876-4211

201 E Main St
Ste C
Cushing, OK 74023
Phone (918) 225-0540

116 W 7th Ave
Ste 222
Stillwater, OK 74074
Phone (405) 743-2945

6440 S Lewis Ave
Ste 2200
Tulsa, OK 74136
Phone (417) 761-5214

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1619927381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 S ATLANTA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057530",
            "telephone_number": "918-749-0944",
            "fax_number": "918-749-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 E 51ST ST",
            "address_2": "SUITE #400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357461",
            "telephone_number": "918-388-6279",
            "fax_number": "918-388-6456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 S Lewis Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361060",
            "country_code": "US",
            "telephone_number": "918-712-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUCHI",
        "first_name": "PAMELA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPR, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "03-195",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.