Active NPI
Lois Bryan-Williams
- Mental Health Counselor
- Norman, OK
National Provider Identifier
1740669431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6364
- Practice address
- 2500 Boardwalk
Norman, OK 73069-6591 - Phone
- (402) 749-0704
- NPI assigned
- May 27, 2015
- Last updated
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6364 | OK | Primary |
Addresses
Primary practice location
2500 Boardwalk
Norman, OK 73069-6591
Mailing address
13920 Pasaro TRL
Oklahoma City, OK 73170-4323
Phone (402) 749-0704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 26, 2024 through Sep 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1740669431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13920 PASARO TRL",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704323",
"telephone_number": "402-749-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BOARDWALK",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696591",
"telephone_number": "402-749-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN-WILLIAMS",
"first_name": "LOIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "6364",
"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 Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.