Individual provider Active NPI

Olga Carmen Elise Pischedda, LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1639369341
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6042 Issued in OK
Practice address
13301 N Meridian Ste 100
Oklahoma City, OK 73120
Phone
(405) 752-9500
Fax
(405) 752-9571
NPI assigned
Jul 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 6042 OK Primary

Addresses

Primary practice location

13301 N Meridian Ste 100
Oklahoma City, OK 73120

Mailing address

207 S Czech Hall Rd
Yukon, OK 73099-6851
Phone (405) 492-1113

Other practice location 1

13301 N Meridian Ave
Oklahoma City, OK 73120-9369
Phone (405) 752-9500

Other practice location 2

207 S Czech Hall Rd
Yukon, OK 73099-6851
Phone (405) 492-1113

Other identifiers 1

IdentifierTypeStateIssuer
200531980AMedicaidOK

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Counseling PLLC Current Accepting new patients

Locations

207 S Czech Hall Rd
Yukon, OK 73099
Phone (405) 492-1113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1639369341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S CZECH HALL RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996851",
            "telephone_number": "405-492-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-752-9500",
            "fax_number": "405-752-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13301 N Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731209369",
            "country_code": "US",
            "telephone_number": "405-752-9500",
            "fax_number": "405-752-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 S Czech Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996851",
            "country_code": "US",
            "telephone_number": "405-492-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISCHEDDA",
        "first_name": "OLGA",
        "middle_name": "CARMEN ELISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-29",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531980A",
            "state": "OK"
        }
    ],
    "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 Oct 21, 2021; 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.