Individual provider Active NPI

Gracie Arlene Rambo I

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1700515103
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4200 Perimeter Ctr Dr Ste 102
Oklahoma City, OK 73112-2310
Phone
(405) 795-7526
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X JCG789 OK
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4200 Perimeter Ctr Dr Ste 102
Oklahoma City, OK 73112-2310

Mailing address

4200 Perimeter Ctr Dr Ste 102
Oklahoma City, OK 73112-2310
Phone (405) 795-7526

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
JCG789OKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Care Christian Counseling CurrentSince Aug 25, 2025 Accepting new patients

Locations

4200 Perimeter Center Dr
Ste 102
Oklahoma City, OK 73112
Phone (405) 367-8180

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1700515103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CTR DR STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122310",
            "telephone_number": "405-795-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CTR DR STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122310",
            "telephone_number": "405-795-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBO",
        "first_name": "GRACIE",
        "middle_name": "ARLENE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "JCG789",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.