Destiny Changers LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINY CHANGERS LLC

Practice address

6701 W Wilshire Blvd
Oklahoma City, OK 73132-5492

Phone

(405) 535-8838

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Debra K Cook

Title

Clinical Director

Phone

(405) 535-8838

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Sharae Cook - Johnson

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1962759696
  NPD (past)
• Christina D Cook

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1336483148
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1992050348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 W WILSHIRE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325492",
            "telephone_number": "405-535-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W WILSHIRE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325492",
            "telephone_number": "405-535-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY CHANGERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-535-8838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Desire, M.D.
• Kimberly D Desoto, MS, LMHC, LPC-S, NCC
• Shirin Ruth Desouza, M.D.
• Monique Desrivieres
• Ima Marie Dessinger
• Destiny Hospice Care, Inc
• Amber Detar
• Jane Detrich, DO
• Autumn Detrick, APRN-CNM
• Jana Detrick, DPH

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.