Individual provider Active NPI

Rocksand Mace, LPC

  • Counselor
  • Edmond, OK
National Provider Identifier
1881959385
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5515 Issued in OK
Practice address
820 W 15TH St
Edmond, OK 73013-3621
Phone
(405) 858-1730
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X 5515 OK Primary

Addresses

Primary practice location

820 W 15TH St
Edmond, OK 73013-3621

Mailing address

2320 NW 115TH St
Oklahoma City, OK 73120-7310
Phone (773) 865-8969

Other identifiers 1

IdentifierTypeStateIssuer
200437450MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222001027 OK Practitioner - Mental Health Counselor 6800230467 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5515OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. CurrentSince Feb 23, 2024 Accepting new patients
Community Health Centers Inc. CurrentSince Feb 23, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028

12716 NE 36th St
Spencer, OK 73084
Phone (405) 466-2535

Interoperability endpoints

  • Direct secure messaging: rocksandmace@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1881959385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NW 115TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207310",
            "telephone_number": "773-865-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133621",
            "telephone_number": "405-858-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "ROCKSAND",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "5515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437450",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.