Active NPI
Vanessa Vermillion Weber Funk
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1841519972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.