Active NPI
Sharlotte Renee Burkes Gilles, LPC
- Professional Counselor
- Pauls Valley, OK
National Provider Identifier
1649212093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2741
- Practice address
- 109 Willow
Pauls Valley, OK 73075 - Phone
- (405) 238-7311
- Fax
- (405) 238-3530
- NPI assigned
- Jun 11, 2006
- Last updated
- Jul 21, 2022
- 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 | 2741 | OK | Primary |
Addresses
Primary practice location
109 Willow
Pauls Valley, OK 73075
Mailing address
49 Taylor Ter
Alex, OK 73002-2248
Phone (405) 756-7386
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2741 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Medical Services, L.L.C. | Professional | Current | Accepting new patients |
Locations
448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624
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, 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": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649212093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 TAYLOR TER",
"city": "ALEX",
"state": "OK",
"postal_code": "730022248",
"telephone_number": "405-756-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WILLOW",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "73075",
"telephone_number": "405-238-7311",
"fax_number": "405-238-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKES GILLES",
"first_name": "SHARLOTTE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.