NPIMap

Organization Active NPI

Red Road Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midwest City, OK
National Provider Identifier
1790112647
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RED ROAD COUNSELING LLC
Practice address
1004 Choctaw Ridge Rd
Midwest City, OK 73130-6127
Phone
(405) 990-0816
NPI assigned
Oct 8, 2013
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Cecilia M. MadonnaNPI 1366228611
Title
Director of Operations
Phone
(405) 990-0816

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1004 Choctaw Ridge Rd
Midwest City, OK 73130-6127

Mailing address

1139 36TH Ave NW Ste 200
Norman, OK 73072-4113
Phone (405) 990-0816

Other practice location 1

1139 36th Ave NW Ste 200
Norman, OK 73072-4113
Phone (405) 990-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240817000031 OK Part B Supplier - Clinic/Group Practice 6103264841 Receives reassigned benefits from 7 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

1139 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 307-0111

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1790112647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 36TH AVE NW STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724113",
            "telephone_number": "405-990-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CHOCTAW RIDGE RD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306127",
            "telephone_number": "405-990-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 36th Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730724113",
            "country_code": "US",
            "telephone_number": "405-990-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED ROAD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "MADONNA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "405-990-0816"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.