Individual provider Active NPI

Jana M Brewer, LPC, LBP

  • Professional Counselor
  • Lawton, OK
National Provider Identifier
1992746267
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1942 Issued in OK
Practice address
5002 SW Lee Blvd
Lawton, OK 73505-8320
Phone
(580) 531-4512
Fax
(580) 531-4519
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 93 OK
Professional Counselor 101YP2500X 1942 OK Primary

Addresses

Primary practice location

5002 SW Lee Blvd
Lawton, OK 73505-8320

Mailing address

5002 SW Lee Blvd
Lawton, OK 73505-8320
Phone (580) 531-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 15, 2025 through Apr 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93OKMDCounselor
1942OKMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1992746267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058320",
            "telephone_number": "580-531-4512",
            "fax_number": "580-531-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058320",
            "telephone_number": "580-531-4512",
            "fax_number": "580-531-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JANA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC, LBP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "93",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.