Peter James Miner, M.S.W

Individual provider Active NPI Mental Health Counselor · El Reno, OK

NPI 1679685135 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1679685135
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
200 N Choctaw Ave
Suite 140
El Reno, OK 73036-2624
Phone
(405) 262-3209
Fax
(405) 262-1331
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

200 N Choctaw Ave
Suite 140
El Reno, OK 73036-2624

Mailing address

8221 N Rockwell Ave
Apt. 1116
Oklahoma City, OK 73132-4254
Phone (405) 641-5177

Other providers in El Reno, OK

All providers in El Reno, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.