Active NPI
Lavena Neundorf Rayner, LPC
- Professional Counselor
- Enid, OK
National Provider Identifier
1629306568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3919
- Practice address
- 605 W Oxford Ave
Enid, OK 73701-1208 - Phone
- (580) 233-7220
- NPI assigned
- Dec 4, 2009
- Last updated
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3919 | OK | Primary |
Addresses
Primary practice location
605 W Oxford Ave
Enid, OK 73701-1208
Mailing address
4515 Skyline PL
Enid, OK 73703-3451
Phone (405) 747-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3919 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1629306568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 SKYLINE PL",
"city": "ENID",
"state": "OK",
"postal_code": "737033451",
"telephone_number": "405-747-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W OXFORD AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737011208",
"telephone_number": "580-233-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNER",
"first_name": "LAVENA",
"middle_name": "NEUNDORF",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.