Individual provider Active NPI

Roxie R Powell

  • Student in an Organized Health Care Education/Training Program
  • Altus, OK
National Provider Identifier
1669088860
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1116 N Main St Ste M12
Altus, OK 73521-3149
Phone
(580) 379-0677
Fax
(580) 482-0008
NPI assigned
Sep 22, 2020
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1116 N Main St Ste M12
Altus, OK 73521-3149

Mailing address

1116 N Main St Ste M12
Altus, OK 73521-3149
Phone (580) 379-0677

Other practice location 1

1205 E Intl Airport Rd Ste 100
Anchorage, AK 99518-1409
Phone (907) 782-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2025 through Feb 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Altus Family Counseling, LLC CurrentSince Aug 29, 2021 Accepting new patients
Alaska Marriage & Family Therapy Associates CurrentSince Sep 1, 2020 Accepting new patients
Alaska Marriage & Family Therapy Associates LLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

1205 E Intl Airport Rd
Ste 100
Anchorage, AK 99518
Phone (907) 570-6382

1116 N Main St
Ste M12
Altus, OK 73521
Phone (580) 379-0677

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1669088860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N MAIN ST STE M12",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213149",
            "telephone_number": "580-379-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N MAIN ST STE M12",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213149",
            "telephone_number": "580-379-0677",
            "fax_number": "580-482-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 E Intl Airport Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995181409",
            "country_code": "US",
            "telephone_number": "907-782-9123",
            "fax_number": "888-972-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ROXIE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.