Sarah P Whitewater, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7013 Issued in OK

Practice address

616 NW 21St St Ste 107
Oklahoma City, OK 73103-1861

Phone

(405) 999-7525

NPI assigned

Dec 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Twelfth House Wellness LLC

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1518585595
  NPD Authorized official

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1922377225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 NW 21ST ST STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031861",
            "telephone_number": "405-999-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 NW 21ST ST STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031861",
            "telephone_number": "405-999-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEWATER",
        "first_name": "SARAH",
        "middle_name": "P",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2024-04-17",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Nicole Whitehead, PTA
• Sara Whitehead, LCSW
• Treta J. Whitehorn, M. ED.
• Laura Whiteley
• Charles Joe Edward Whiters
• Adrian Trialon Whiting, M.S., CCC-SLP
• Ami Whitley
• Dochelle Antoinette Whitley
• Elizabeth Whitley
• Hannah Leigh Whitley

• Professional Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.