Individual provider Active NPI

Michada Dienitrius Hatfield, BHRS

  • Mental Health Counselor
  • Lawton, OK
National Provider Identifier
1821389693
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
807 SW F Ave
Lawton, OK 73501-4506
Phone
(580) 595-7000
Fax
(580) 595-7005
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OK Primary

Addresses

Primary practice location

807 SW F Ave
Lawton, OK 73501-4506

Mailing address

807 SW F Ave
Lawton, OK 73501-4506
Phone (580) 595-7000

Other identifiers 1

IdentifierTypeStateIssuer
731545165MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1821389693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-595-7000",
            "fax_number": "580-595-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-595-7000",
            "fax_number": "580-595-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "MICHADA",
        "middle_name": "DIENITRIUS",
        "credential": "BHRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731545165",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.