Audrey June Halfacre, BS, MHA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

4803 Ridge St
Tahlequah, OK 74464-5644

Phone

(918) 316-0130

NPI assigned

Feb 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Audrey June Maher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1679105068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 RIDGE ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645644",
            "telephone_number": "918-316-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 RIDGE ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645644",
            "telephone_number": "918-316-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFACRE",
        "first_name": "AUDREY",
        "middle_name": "JUNE",
        "credential": "BS, MHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "MAHER",
            "middle_name": "JUNE",
            "credential": "BS, MHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla Guzic, PHARMD
• Blayke Haggard
• Abby Hahn
• Toni M Hail, LCSW
• Kailey Madison Haley, DO
• Cardell Hall Jr., PHARM D
• Jamie L Hall
• Shawn Hall, FNP
• Stacy C Hall, M.ED
• Trina Hall

• Addiction (Substance Use Disorder) Counselor in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.