Individual provider Active NPI

Annette Jean Holcer, LPC/LADC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1902089444
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3866 Issued in OK
Practice address
6051 N Brookline Ave
Suite 112
Oklahoma City, OK 73112-4289
Phone
(405) 810-0054
Fax
(405) 810-8977
NPI assigned
Dec 6, 2007
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 144 OK
Professional Counselor 101YP2500X 3866 OK Primary

Addresses

Primary practice location

6051 N Brookline Ave
Suite 112
Oklahoma City, OK 73112-4289

Mailing address

6051 N Brookline Ave
Suite 112
Oklahoma City, OK 73112-4289
Phone (405) 810-0054

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

State licenses

LicenseStateTypeSpecialty
144OKMDAddiction (Substance Use Disorder) Counselor
3866OKMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1902089444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE",
            "address_2": "SUITE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124289",
            "telephone_number": "405-810-0054",
            "fax_number": "405-810-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE",
            "address_2": "SUITE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124289",
            "telephone_number": "405-810-0054",
            "fax_number": "405-810-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCER",
        "first_name": "ANNETTE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPC/LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "144",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3866",
            "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 22, 2011; 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.