Angela Brew, LADC

Key facts

NPI

1831481522

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

1246 (OK)

Practice address

901 Alameda Street
Norman, OK 73071

Phone

(405) 360-5100

NPI assigned

May 12, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2020.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1831481522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MIDLAND VALLEY ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696970",
            "telephone_number": "918-815-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ALAMEDA STREET",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-360-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREW",
        "first_name": "ANGELA",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

• Taylor Brecher
• Aimee Nicole Bredeson, LPC, ATR
• Kimberly Brennan, LPC
• Rebecca Brennan, COTA/L
• Brent Delong, PLLC
• Mark Brew
• Beverly Virginia Brewer
• Bryan D Brewer, PTA
• Candyse Elizabeth Brewer, APRN-CNS
• Jana Hutchins Brewer, MS

All providers in Norman, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma