Active NPI
Gena Brown
- Professional Counselor
- Muskogee, OK
National Provider Identifier
1689096034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10636
- Practice address
- 5210 W 26TH St N
Muskogee, OK 74401-5428 - Phone
- (918) 706-0333
- NPI assigned
- Jan 19, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10636 | OK | Primary |
Addresses
Primary practice location
5210 W 26TH St N
Muskogee, OK 74401-5428
Mailing address
2420 N 24TH St W
Muskogee, OK 74401-2241
Phone (918) 706-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10636 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1689096034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 N 24TH ST W",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012241",
"telephone_number": "918-706-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 W 26TH ST N",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015428",
"telephone_number": "918-706-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "GENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-19",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "10636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.