Active NPI
Heather Faye Annis, M.S., LPC
- Professional Counselor
- Prague, OK
National Provider Identifier
1982917746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3390
- Practice address
- 8012 Nbu
1211 Brunson
Prague, OK 74864-4044 - Phone
- (405) 567-2649
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3390 | OK | Primary |
Addresses
Primary practice location
8012 Nbu
1211 Brunson
Prague, OK 74864-4044
Mailing address
8012 Nbu
1211 Brunson
Prague, OK 74864-4044
Phone (405) 567-2649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 24, 2024 through May 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3390 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Christian Counseling and Care PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Shawnee, OK
- NPI 1528300209
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1982917746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8012 NBU",
"address_2": "1211 BRUNSON",
"city": "PRAGUE",
"state": "OK",
"postal_code": "748644044",
"telephone_number": "405-567-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 NBU",
"address_2": "1211 BRUNSON",
"city": "PRAGUE",
"state": "OK",
"postal_code": "748644044",
"telephone_number": "405-567-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNIS",
"first_name": "HEATHER",
"middle_name": "FAYE",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prague, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.