Active NPI
Roxie R Powell
- Student in an Organized Health Care Education/Training Program
- Altus, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altus Family Counseling, LLC | Current | Accepting new patients | |
| Alaska Marriage & Family Therapy Associates | Current | Accepting new patients | |
| Alaska Marriage & Family Therapy Associates LLC | Current | 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.
-
- Professional Counselor
- Altus, OK
- NPI 1285103796
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1447684634
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1932811668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.