Individual provider Active NPI

Justin Hammons, M.S., LMFT

  • Marriage & Family Therapist
  • Midwest City, OK
National Provider Identifier
1952681645
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1348 Issued in OK
Practice address
1390 S Douglas Blvd Ste 102
Midwest City, OK 73130-5271
Phone
(405) 679-4977
NPI assigned
Aug 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 1348 OK Primary

Addresses

Primary practice location

1390 S Douglas Blvd Ste 102
Midwest City, OK 73130-5271

Mailing address

1390 S Douglas Blvd Ste 102
Midwest City, OK 73130-5271
Phone (405) 679-4977

Other practice location 1

832 NE 69th St
Oklahoma City, OK 73105-6006
Phone (405) 414-5562

Other identifiers 1

IdentifierTypeStateIssuer
1659685402MedicaidOK

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1348OKMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1952681645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DOUGLAS BLVD STE 102",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305271",
            "telephone_number": "405-679-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DOUGLAS BLVD STE 102",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305271",
            "telephone_number": "405-679-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 NE 69th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731056006",
            "country_code": "US",
            "telephone_number": "405-414-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "JUSTIN",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659685402",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.