Organization Active NPI

Sugar Sweet Rehabilitation Services

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1831921303
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUGAR SWEET REHABILITATION SERVICES
Practice address
3000 United Founders Blvd Ste 139P
Oklahoma City, OK 73112-4361
Phone
(405) 977-9671
Fax
(405) 518-8007
NPI assigned
Aug 14, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Sugar Gillespie, LPCNPI 1861833840
Title
Owner
Phone
(405) 977-9671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3000 United Founders Blvd Ste 139P
Oklahoma City, OK 73112-4361

Mailing address

3000 United Founders Blvd Ste 139P
Oklahoma City, OK 73112-4361
Phone (405) 977-9671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905000177 OK Part B Supplier - Clinic/Group Practice 4789124777 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3000 United Founders Blvd
Ste 100G
Oklahoma City, OK 73112
Phone (405) 977-9671

3000 United Founders Blvd
Ste 124
Oklahoma City, OK 73112
Phone (405) 613-2037

3000 United Founders Blvd
Ste 139P
Oklahoma City, OK 73112
Phone (405) 977-9671

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1831921303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 139P",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124361",
            "telephone_number": "405-977-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 139P",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124361",
            "telephone_number": "405-977-9671",
            "fax_number": "405-518-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR SWEET REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "SUGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-977-9671",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.