Individual provider Active NPI

Amy M Oatman, LPC

  • Professional Counselor
  • Ponca City, OK
National Provider Identifier
1962706390
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4624 Issued in OK
Practice address
200 White Eagle Dr
Ponca City, OK 74601-8315
Phone
(580) 765-2501
NPI assigned
Dec 28, 2010
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4624 OK Primary

Addresses

Primary practice location

200 White Eagle Dr
Ponca City, OK 74601-8315

Mailing address

200 White Eagle Dr
Ponca City, OK 74601-8315
Phone (580) 765-2501

Other names 1

  • Amy M Frantz Former name

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
I20240129004554 OK Practitioner - Mental Health Counselor 9830564996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4624OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
White Eagle Health Center CurrentSince Jan 1, 2024 Accepting new patients
White Eagle Health Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

200 White Eagle Dr
Ponca City, OK 74601
Phone (580) 765-2501

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1962706390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE EAGLE DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746018315",
            "telephone_number": "580-765-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE EAGLE DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746018315",
            "telephone_number": "580-765-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATMAN",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FRANTZ",
            "middle_name": "M",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.