Active NPI
Brittany Leigh Fowler, M.S., LPC
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1942647508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5840 S Memorial Dr
Suite #111
Tulsa, OK 74145-9023 - Phone
- (918) 488-8002
- Fax
- (918) 488-8028
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OK | Primary |
Addresses
Primary practice location
5840 S Memorial Dr
Suite #111
Tulsa, OK 74145-9023
Mailing address
5840 S Memorial Dr
Suite #111
Tulsa, OK 74145-9023
Phone (918) 488-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 11, 2024 through Jun 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1942647508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 S MEMORIAL DR",
"address_2": "SUITE #111",
"city": "TULSA",
"state": "OK",
"postal_code": "741459023",
"telephone_number": "918-488-8002",
"fax_number": "918-488-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 S MEMORIAL DR",
"address_2": "SUITE #111",
"city": "TULSA",
"state": "OK",
"postal_code": "741459023",
"telephone_number": "918-488-8002",
"fax_number": "918-488-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "BRITTANY",
"middle_name": "LEIGH",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.