Organization Active NPI

Patti Mason, PLLC.

  • Addiction (Substance Use Disorder) Counselor
  • Oklahoma City, OK
National Provider Identifier
1730666124
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1051 Issued in OK
Legal business name
PATTI MASON, PLLC.
Practice address
6023 NW 120TH CT
Oklahoma City, OK 73162-1790
Phone
(405) 509-1050
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Patricia Mason, LADCNPI 1215249305
Title
Owner/Therapist
Phone
(405) 509-1050

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1051 OK Primary

Addresses

Primary practice location

6023 NW 120TH CT
Oklahoma City, OK 73162-1790

Mailing address

6023 NW 120TH CT
Oklahoma City, OK 73162-1790
Phone (405) 509-1050

Other identifiers 1

IdentifierTypeStateIssuer
200374120CMedicaidOK

Other names 1

  • Total Life Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

6023 NW 120th Ct
Oklahoma City, OK 73162
Phone (405) 509-1050

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1730666124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 NW 120TH CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621790",
            "telephone_number": "405-509-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 NW 120TH CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621790",
            "telephone_number": "405-509-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI MASON, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "405-509-1050",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374120C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Life Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2018; 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.