Organization Active NPI

Mindful Bison Incorporated

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1700544913
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL BISON INCORPORATED
Practice address
4330 Adams Rd Ste 100
Norman, OK 73069-1007
Phone
(405) 701-8400
NPI assigned
Dec 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2021

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

Authorized official

Name
Deshia Powers, LPCNPI 1295497592
Title
President
Phone
(405) 820-7281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4330 Adams Rd Ste 100
Norman, OK 73069-1007

Mailing address

3325 Wood Valley Rd
Norman, OK 73071-3689
Phone (405) 820-7281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240109000868 OK Part B Supplier - Clinic/Group Practice 0446601074 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638662400000",
    "number": "1700544913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 WOOD VALLEY RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730713689",
            "telephone_number": "405-820-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 ADAMS RD STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691007",
            "telephone_number": "405-701-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BISON INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-05",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "DESHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-820-7281",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.