Individual provider Active NPI

Zachery David Helterbrake, MCP, LPC-S

  • Counselor
  • Woodward, OK
National Provider Identifier
1801380142
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1116 19TH St
Woodward, OK 73801-2925
Phone
(580) 922-5656
Fax
(580) 922-3261
NPI assigned
Jun 20, 2018
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1116 19TH St
Woodward, OK 73801-2925

Mailing address

PO Box 177
Seiling, OK 73663-0177
Phone (580) 922-5656

Other practice location 1

503 N Main St
Seiling, OK 73663-6681
Phone (580) 922-5656

Other practice location 2

423 W Broadway Ave
Enid, OK 73701-3839
Phone (580) 922-5656

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
I20251126004374 OK Practitioner - Mental Health Counselor 1153813027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 177
Seiling, OK 73663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bent Creek Behavioral Health Services, PLLC CurrentSince Sep 7, 2025 Accepting new patients

Locations

423 W Broadway Ave
Enid, OK 73701
Phone (580) 922-5656

101 S Main St
Ste A
Fairview, OK 73737

503 N Main St
Seiling, OK 73663
Phone (580) 922-3162

1116 19th St
Woodward, OK 73801
Phone (580) 505-0465

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1801380142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "736630177",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 19TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012925",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 N Main St",
            "address_purpose": "LOCATION",
            "city": "Seiling",
            "state": "OK",
            "postal_code": "736636681",
            "country_code": "US",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737013839",
            "country_code": "US",
            "telephone_number": "580-922-5656",
            "fax_number": "580-922-3261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELTERBRAKE",
        "first_name": "ZACHERY",
        "middle_name": "DAVID",
        "credential": "MCP, LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.