Organization Active NPI

Okina Yume, LLC

  • Mental Health Counselor
  • Jarrell, TX
National Provider Identifier
1649925181
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OKINA YUME, LLC
Doing business as
Dream Big Counseling & Wellness
Practice address
249 Geode LN
Jarrell, TX 76537-1466
Phone
(512) 202-9008
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Anne-Marie Tague White, LPCNPI 1053901652
Title
Owner
Phone
(512) 202-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

249 Geode LN
Jarrell, TX 76537-1466

Mailing address

249 Geode LN
Jarrell, TX 76537-1466
Phone (512) 202-9008

Other names 1

  • Dream Big Counseling & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240622000275 TX Part B Supplier - Clinic/Group Practice 3072056753 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

3613 Williams Dr
Ste 602
Georgetown, TX 78628
Phone (512) 202-9008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1649925181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 GEODE LN",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765371466",
            "telephone_number": "512-202-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 GEODE LN",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765371466",
            "telephone_number": "512-202-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKINA YUME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANNE-MARIE",
        "authorized_official_middle_name": "TAGUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-202-9008",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Big Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jarrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.