NPIMap

Organization Active NPI

Focus Mental Health Services, LLC

  • Mental Health Counselor
  • Shawnee, OK
National Provider Identifier
1851658959
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4469 Issued in OK
Legal business name
FOCUS MENTAL HEALTH SERVICES, LLC
Practice address
1127 N Kickapoo Ave
Shawnee, OK 74801-4845
Phone
(405) 214-0116
Fax
(877) 334-8552
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Mr. Johnie Fredman, LPCNPI 1427388313
Title
Owner
Phone
(405) 214-0016

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4469 OK Primary

Addresses

Primary practice location

1127 N Kickapoo Ave
Shawnee, OK 74801-4845

Mailing address

33207 45TH St
Shawnee, OK 74804-3423
Phone (405) 214-0116

Other identifiers 1

IdentifierTypeStateIssuer
1427388313OtherOKNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415001879 OK Part B Supplier - Clinic/Group Practice 9739420019 Receives reassigned benefits from 13 practitioners
Practice locations: Shawnee, OK

National Provider Directory

National Provider Directory

Locations

1127 N Kickapoo Ave
Shawnee, OK 74801
Phone (405) 214-0116

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1851658959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33207 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043423",
            "telephone_number": "405-214-0116",
            "fax_number": "877-334-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748014845",
            "telephone_number": "405-214-0116",
            "fax_number": "877-334-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "FREDMAN",
        "authorized_official_first_name": "JOHNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-214-0016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427388313",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.