Individual provider Active NPI

Vanessa Vermillion Weber Funk

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1841519972
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6373 Issued in OK
Practice address
4216 N Portland Ave Ste 208C
Oklahoma City, OK 73112-6387
Phone
(405) 245-8257
Fax
(405) 648-0911
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6373 OK Primary

Addresses

Primary practice location

4216 N Portland Ave Ste 208C
Oklahoma City, OK 73112-6387

Mailing address

4216 N Portland Ave Ste 208C
Oklahoma City, OK 73112-6387
Phone (405) 719-6802

Other practice location 1

428 S Mustang Rd
Yukon, OK 73099-6754
Phone (405) 577-5477

Other practice location 2

2916 NW 18th St
Oklahoma City, OK 73107-3906
Phone (405) 203-1814

Other practice location 3

3838 NW 36th St Ste 200
Oklahoma City, OK 73112-2916
Phone (405) 702-3903

Other practice location 4

2529 S Kelly Ave Ste C
Edmond, OK 73013
Phone (405) 245-8257

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1841519972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 N PORTLAND AVE STE 208C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126387",
            "telephone_number": "405-719-6802",
            "fax_number": "405-648-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 N PORTLAND AVE STE 208C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126387",
            "telephone_number": "405-245-8257",
            "fax_number": "405-648-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 S Mustang Rd",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996754",
            "country_code": "US",
            "telephone_number": "405-577-5477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2916 NW 18th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731073906",
            "country_code": "US",
            "telephone_number": "405-203-1814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 NW 36th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122916",
            "country_code": "US",
            "telephone_number": "405-702-3903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2529 S Kelly Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "73013",
            "country_code": "US",
            "telephone_number": "405-245-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "VANESSA",
        "middle_name": "VERMILLION WEBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6373",
            "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 Jun 18, 2024; 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.