Active NPI
Dandra Kaye Rentie, LADC
- Mental Health Counselor
- Moore, OK
National Provider Identifier
1730200692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LADC--603
- Practice address
- 624 NW 5TH Street
Moore, OK 73160 - Phone
- (405) 912-3871
- Fax
- (405) 799-0912
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LADC--603 | OK | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADC--603 | OK |
Addresses
Primary practice location
624 NW 5TH Street
Moore, OK 73160
Mailing address
P.O. Box 5062
Norman, OK 73070-5062
Phone (405) 447-3728
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
| License | State | Type | Specialty |
|---|---|---|---|
| LADC--603 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1730200692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5062",
"city": "NORMAN",
"state": "OK",
"postal_code": "730705062",
"telephone_number": "405-447-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 NW 5TH STREET",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-912-3871",
"fax_number": "405-799-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTIE",
"first_name": "DANDRA",
"middle_name": "KAYE",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "LADC--603",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "LADC--603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.