La Vida Fearless Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6158 Issued in OK

Legal business name

LA VIDA FEARLESS COUNSELING

Practice address

3000 United Founders Blvd Ste 124
Oklahoma City, OK 73112-4292

Phone

(405) 810-5200

Fax

(405) 493-0700

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Danny Podobnik

Title

Manager

Phone

(405) 810-5200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• La Vida Fearless Counseling Former legal business name

Locations

Practitioners 2

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

• Josiah Javellana

  • Marriage & Family Therapist
  • Oklahoma City, OK
  • NPI 1134951932
  NPD
• Dan Podobnik

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1730990904
  NPD

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1669987830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 124",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124292",
            "telephone_number": "405-810-5200",
            "fax_number": "405-493-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 124",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124292",
            "telephone_number": "405-810-5200",
            "fax_number": "405-493-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19100 Green Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730129766",
            "country_code": "US",
            "telephone_number": "405-703-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA VIDA FEARLESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "PODOBNIK",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-810-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "6158",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200748610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Vida Fearless Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• La Fuente Prosthetics
• La Fuente Specialty Prosthetics,LLC
• Henry La Fuente, BCO, BADO
• Monique La Fuente, OCULARIST
• La Luz Organization
• Daniel Tyler Laakman, APRN FNP-C
• Trish M Labar
• Susette Marie Labat
• Labcorp Oklahoma, Inc.
• Jocelyn Labombarde

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.