Individual provider Active NPI

Michael Sylvester Radonski

  • Professional Counselor
  • Warr Acres, OK
National Provider Identifier
1942819081
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7311 Issued in OK
Practice address
5601 NW 72ND St Ste 260M
Warr Acres, OK 73132-5931
Phone
(405) 676-1072
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LCSW-16148 AZ
Professional Counselor 101YP2500X 7311 OK Primary

Addresses

Primary practice location

5601 NW 72ND St Ste 260M
Warr Acres, OK 73132-5931

Mailing address

5601 NW 72ND St Ste 260M
Warr Acres, OK 73132-5931
Phone (405) 676-1072

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
I20251125002616 OK Practitioner - Clinical Social Worker 1759873078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Ease Counseling Services, PLLC.Group PAC ID 0840782165, 2 clinicians

Practice addresses (Care Compare)

5601 NW 72ND St
Suite 234
Warr Acres, OK 73132-5920
Phone (405) 953-7965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-16148AZMDMental Health Counselor
7311OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover You CurrentSince Mar 1, 2022 Accepting new patients
At Ease Counseling Services, PLLC Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

6608 N Western Ave
Oklahoma City, OK 73116
Phone (262) 354-8179

5601 NW 72nd St
Ste 234
Warr Acres, OK 73132
Phone (405) 367-3927

5601 NW 72nd St
Ste 260M
Warr Acres, OK 73132
Phone (405) 676-1072

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1942819081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NW 72ND ST STE 260M",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325931",
            "telephone_number": "405-676-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NW 72ND ST STE 260M",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325931",
            "telephone_number": "405-676-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADONSKI",
        "first_name": "MICHAEL",
        "middle_name": "SYLVESTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-16148",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

Verify at the official NPI Registry.