Active NPI
Brenda H Cacy Reffner, LPC
- Professional Counselor
- Yukon, OK
National Provider Identifier
1790878643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 987
- Practice address
- 207 S Czech Hall Rd
Yukon, OK 73099-6851 - Phone
- (405) 517-3467
- Fax
- (405) 594-4735
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 987 | OK | Primary |
Addresses
Primary practice location
207 S Czech Hall Rd
Yukon, OK 73099-6851
Mailing address
PO Box 851864
Yukon, OK 73085-1864
Phone (405) 517-3467
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131001702 | OK | Practitioner - Mental Health Counselor | 7315390838 | Practice locations: Yukon, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 987 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1790878643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851864",
"city": "YUKON",
"state": "OK",
"postal_code": "730851864",
"telephone_number": "405-517-3467",
"fax_number": "405-594-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S CZECH HALL RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996851",
"telephone_number": "405-517-3467",
"fax_number": "405-594-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACY REFFNER",
"first_name": "BRENDA",
"middle_name": "H",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.