Individual provider Active NPI

Brittany M Black, M.S., LMFT

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1982125787
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1345 Issued in OK
Practice address
4200 Perimeter Center Dr Ste 245
Oklahoma City, OK 73112-2322
Phone
(405) 808-3541
NPI assigned
Jun 30, 2017
Last updated
Feb 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1345 OK Primary

Addresses

Primary practice location

4200 Perimeter Center Dr Ste 245
Oklahoma City, OK 73112-2322

Mailing address

4200 Perimeter Center Dr Ste 245
Oklahoma City, OK 73112-2322
Phone (405) 293-2956

Other practice location 1

4001 N Classen Blvd Ste 225
Oklahoma City, OK 73118-2670
Phone (405) 231-3150

Other practice location 2

4900 N Portland Ave Ste 105
Oklahoma City, OK 73112-6100
Phone (405) 412-6218

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
1345OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Care Christian Counseling Marriage & Family Therapist CurrentSince Dec 29, 2019 Accepting new patients
Capable Counseling Services (CCS), LLC Past Accepting new patients
Cornerstone Counseling & Consulting, Inc. PastSince Feb 16, 2020 Accepting new patients

Locations

4200 Perimeter Center Dr
Ste 102
Oklahoma City, OK 73112
Phone (405) 795-7526

4200 Perimeter Center Dr
Ste 245
Oklahoma City, OK 73112
Phone (405) 437-0014

Organizations & group practices 3

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1982125787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR STE 245",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122322",
            "telephone_number": "405-293-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR STE 245",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122322",
            "telephone_number": "405-808-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 N Classen Blvd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731182670",
            "country_code": "US",
            "telephone_number": "405-231-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 N Portland Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731126100",
            "country_code": "US",
            "telephone_number": "405-412-6218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1345",
            "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 Feb 2, 2020; 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.