Individual provider Active NPI

Harry Glen Carver, PH.D

  • Professional Counselor
  • Broken Arrow, OK
National Provider Identifier
1790992162
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11498 Issued in OK
Practice address
2141 W Concord Cir
Broken Arrow, OK 74012-1459
Phone
(918) 288-0027
NPI assigned
May 16, 2007
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2537 LA
Professional Counselor 101YP2500X 11498 OK Primary
Marriage & Family Therapist 106H00000X 450 LA

Addresses

Primary practice location

2141 W Concord Cir
Broken Arrow, OK 74012-1459

Mailing address

27935 E 113TH St
Coweta, OK 74429-3805
Phone (804) 615-9650

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108003337 OK Practitioner - Mental Health Counselor 8123556818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Hall's Anchor of HopeGroup PAC ID 0345777843, 3 clinicians

Practice addresses (Care Compare)

4416 W Houston St
Broken Arrow, OK 74012-4645
Phone (918) 288-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2537LAMDProfessional Counselor
11498OKMDProfessional Counselor
450LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Halls Anchor of Hope CurrentSince Nov 2, 2024 Accepting new patients

Locations

2141 W Concord Cir
Broken Arrow, OK 74012
Phone (918) 288-0027

4416 W Houston St
Broken Arrow, OK 74012
Phone (918) 288-0027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1790992162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27935 E 113TH ST",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744293805",
            "telephone_number": "804-615-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 W CONCORD CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121459",
            "telephone_number": "918-288-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "HARRY",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2537",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11498",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.