Lisa De Amber Komahcheet, LADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

#588 Issued in OK

Practice address

3212 SW 104TH Ter
2915 N Classen Blvd. Suite 325
Oklahoma City, OK 73159-7800

Phone

(405) 213-3700

Fax

(405) 208-4574

NPI assigned

Apr 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Komahcheet Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mending Hearts LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1992015689
  NPD (past) Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1972829901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SW 104TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597800",
            "telephone_number": "405-213-3700",
            "fax_number": "405-208-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SW 104TH TER",
            "address_2": "2915 N CLASSEN BLVD. SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597800",
            "telephone_number": "405-213-3700",
            "fax_number": "405-208-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAHCHEET",
        "first_name": "LISA",
        "middle_name": "DE AMBER",
        "name_prefix": "Ms.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "#588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "KOMAHCHEET",
            "credential": "LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Veena Kolli, PMHNP, APRN- CNP
• Vijay K Kolli, MD
• Joseph Kolo
• Ashley Kathleen Kolpan
• Billy Earl Komahcheet
• Jacque S Komers
• Sai Subramanyam Kommineni, MD
• Alexandra Grace Konemann, LPMT, MT-BC
• Anusha Koneru
• Kong L Chang Optometrist PLLC

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.