Angela Donnell Grant

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5350 S Western Ave Ste 707
Oklahoma City, OK 73109-4537

Phone

(405) 631-9991

NPI assigned

Feb 26, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Victory Youth Counseling Services LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1992053755
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1689099731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19174 S 201ST EAST AVE",
            "city": "HASKELL",
            "state": "OK",
            "postal_code": "744362239",
            "telephone_number": "918-231-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 707",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094537",
            "telephone_number": "405-631-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ANGELA",
        "middle_name": "DONNELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Slam Rehabilitation L.L.C.
• Grand Village in Home Care
• Michael Henry Grandison, DO
• Gloria Granillo
• Grant Johnson
• Christopher Dewayne Grant
• Jessica Grant
• Katherine Grant, MD
• Kathryn Ellen Grant, LMSW
• Matthew Tyler Grant, M.D.

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.