Deanna Bourland, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6179 Issued in OK

Practice address

303 E Court St
Atoka, OK 74525-2047

Phone

(580) 889-5555

NPI assigned

Oct 25, 2009

Last updated

Aug 21, 2024By 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 3

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

Medicare enrollment (NPD)

Enrolled

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.

• Community Pathways Unlimited Inc

  • Clinical Psychologist
  • Oklahoma City, OK
  • NPI 1659328284
  Medicare reassignment NPD
• Southern Oklahoma Treatment Services, Inc.

  • Community/Behavioral Health Agency
  • Durant, OK
  • NPI 1114565512
  NPD (past)

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1760718803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252047",
            "telephone_number": "580-889-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252047",
            "telephone_number": "580-889-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURLAND",
        "first_name": "DEANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "6179",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6179",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J Bills, BHRS
• Dennis Ray Blackman, LPC
• Arnie Jerome Blankenship
• Julia Kay Blaylock
• Veda Boggs
• Lacey Gail Boyd
• Kelly Bradford
• Brooke Elizabeth Brasfield, APRN, FNP-C
• Jamber Briels
• James Avery Briggs, D.D.S.

• Counselor in Atoka, OK
• Providers in Atoka, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.