Paula Ann Bonebrake, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1502 Issued in OK

Practice address

12801 E 85TH St N Ste 101
Owasso, OK 74055-2259

Phone

(918) 637-8373

Fax

(918) 856-3671

NPI assigned

May 19, 2010

Last updated

Jan 6, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Paula Bonebrake, LPC

  • Mental Health Counselor
  • Owasso, OK
  • NPI 1013880228
  NPD Authorized official

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1740509504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12312 E. 79TH CT. N.",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-637-8373",
            "fax_number": "918-856-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 E 85TH ST N STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552259",
            "telephone_number": "918-637-8373",
            "fax_number": "918-856-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEBRAKE",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OU Physicians Tulsa Central States Orthopedic)
• Body Firm, Inc
• Martiann Lee Bohl-Witchey, DO
• Barbara Roberts Bold, LPC
• Courtney Bolles
• Christel Borland, COTA/L
• Bounce Back Rehab, PLC
• Cami Marie Bowman-Stice
• Boyd Family Dentistry
• Cheryl Ann Boyd, D.O.

• Professional Counselor in Owasso, OK
• Providers in Owasso, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.