Individual provider Active NPI

Omari Cole

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1700407376
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12042 Issued in OK
Practice address
1001 W Danforth Rd
Edmond, OK 73003-4801
Phone
(405) 340-2993
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Behavior Technician 106S00000X OK
Professional Counselor 101YP2500X 12042 OK Primary

Addresses

Primary practice location

1001 W Danforth Rd
Edmond, OK 73003-4801

Mailing address

401 E Memorial Rd Ste 700
Oklahoma City, OK 73114-2287
Phone (214) 998-7032

Other practice location 1

2248 NW 164th St
Edmond, OK 73013-8801
Phone (405) 605-2663

Other practice location 2

401 E Memorial Rd Ste 700
Oklahoma City, OK 73114-2287
Phone (913) 850-5934

Other practice location 3

1016 SW 44th St Ste 500
Oklahoma City, OK 73109-3615
Phone (405) 605-4249

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

LicenseStateTypeSpecialty
12042OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BC Behavioral PastSince Jun 22, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1700407376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MEMORIAL RD STE 700",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142287",
            "telephone_number": "214-998-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W DANFORTH RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034801",
            "telephone_number": "405-340-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2248 NW 164th St",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730138801",
            "country_code": "US",
            "telephone_number": "405-605-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Memorial Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731142287",
            "country_code": "US",
            "telephone_number": "913-850-5934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 SW 44th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093615",
            "country_code": "US",
            "telephone_number": "405-605-4249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "OMARI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "12042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.