Active NPI
Myron Dewayne Mayberry, M.ED.
- Counselor
- Oklahoma City, OK
National Provider Identifier
1972829695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 245 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7754 - Phone
- (405) 286-3900
- Fax
- (405) 286-3911
- NPI assigned
- Apr 20, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
245 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7754
Mailing address
245 W Wilshire Blvd Ste a
Oklahoma City, OK 73116-7754
Phone (405) 286-3900
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 Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1972829695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W WILSHIRE BLVD STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167754",
"telephone_number": "405-286-3900",
"fax_number": "405-286-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W WILSHIRE BLVD STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167754",
"telephone_number": "405-286-3900",
"fax_number": "405-286-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "MYRON",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.