Individual provider Active NPI

Bonnie Brazwell, M.S.

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1942475660
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1608 S Elwood Ave
Tulsa, OK 74119-4208
Phone
(918) 587-3888
NPI assigned
Apr 23, 2008
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1608 S Elwood Ave
Tulsa, OK 74119-4208

Mailing address

1608 S Elwood Ave
Tulsa, OK 74119-4208
Phone (918) 587-3888

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
I20251015004575 OK Practitioner - Mental Health Counselor 9133616816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5310 E 31St St
Suite 700
Tulsa, OK 74135-5012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children's Services, Inc CurrentSince Jul 5, 2025 Accepting new patients
Resonance Center for Women, Inc. Past Accepting new patients

Locations

1055 S Houston Ave
Tulsa, OK 74127
Phone (918) 382-3100

650 S Peoria Ave
Tulsa, OK 74120
Phone (918) 749-6095

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1942475660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S ELWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194208",
            "telephone_number": "918-587-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S ELWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194208",
            "telephone_number": "918-587-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZWELL",
        "first_name": "BONNIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.