Marla Jane Divelbiss, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7715 E Greens Ave Apt 105
Bixby, OK 74008-5069

Phone

(918) 230-3934

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1841311289
  Medicare reassignment Care Compare group NPD
• Creoks Mental Health Services

  dba TruHealth Integrated Care

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD
• Creoks Mental Health Services, Inc

  dba CREOKS Behavioral Health Services, Inc

  • Community/Behavioral Health Agency
  • Wagoner, OK
  • NPI 1407157456
  NPD

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1720429467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 E GREENS AVE APT 105",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740085069",
            "telephone_number": "918-230-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 E GREENS AVE APT 105",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740085069",
            "telephone_number": "918-230-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVELBISS",
        "first_name": "MARLA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Crowder, OTR/L
• Phyllis Renee Cuaderes, D.PH.
• Raenalle J Degidio, CRNA
• Dental Arts of Bixby, LLC
• Direct Steps, LLC
• East 111 Family Dentistry PLLC (Tej Lad DDS)
• Eastern Oklahoma Medical Clinic Inc
• Lia Ek
• Phyllis Ekwempu
• David Craig Eldridge, O.D.

• Mental Health Counselor in Bixby, OK
• Providers in Bixby, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.