BROOKE ASHLEY PENDERGRAFT (NPI# 1285999326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285999326 |
| Entity Type | Individual |
| Full Name | BROOKE ASHLEY PENDERGRAFT |
| Practice Address |
122 E Eufaula St Norman OK 73069-6017 |
| Mailing Address |
17424 Golden Hawk Ln Edmond OK 73012-7053 |
| Practice Telephone | 4054474499 |
| Mailing Telephone | 3039568125 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2012-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
122 E EUFAULA ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891884110 | Communityworks, LLC | Community/Behavioral Health | 122 E Eufaula St, Norman, OK 73069-6017 | 2006-10-12 |
| 1043640691 | Donesha Willis | Case Manager/Care Coordinator | 122 E Eufaula St, Norman, OK 73069-6017 | 2013-11-18 |
| 1386982163 | Regan Green | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2013-01-29 |
| 1144504143 | Kay Lynn Hale | Case Manager/Care Coordinator | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-10-10 |
| 1326327222 | James Anthony Sardis Jr. | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-08-09 |
| 1578857504 | Rashon Carruthers | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-06-07 |
| 1881985075 | David Johnson | Community/Behavioral Health | 122 E Eufaula St, Norman, OK 73069-6017 | 2011-04-22 |
| 1871894030 | Tamara Michelle Davis | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2010-11-04 |
| 1962712760 | Christianne Michelle Pickens | Music Therapist | 122 E Eufaula St, Norman, OK 73069-6017 | 2010-10-14 |
| 1760799688 | Melinda Ann Abrahams | Counselor | 122 E Eufaula St, Norman, OK 73069-6017 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700444668 | The Lpc Group LLC | Counselor | 1215 Crossroads Blvd Ste 204, Norman, OK 73072-3332 | 2019-06-04 |
| 1245798560 | Jessica J Smith | Counselor | 2500 Mcgee Dr Ste 104, Norman, OK 73072-6705 | 2019-03-05 |
| 1659836625 | Derek Dean Holland | Counselor | 1120 Mcgee Dr Apt C, Norman, OK 73069-4132 | 2019-02-04 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1447739768 | Benjamin C Joseph | Counselor | 1506 Avondale Dr, Norman, OK 73069-7306 | 2018-08-08 |
| 1144726530 | Counseling Solutions of Norman, LLC | Counselor | 913 Caracara Dr, Norman, OK 73072-8423 | 2018-04-04 |
| 1912406968 | Chauncey Michael Murch IIi | Counselor | 1626 Chautauqua Ave, Norman, OK 73072-6343 | 2018-02-06 |
| 1497287452 | Marie Angelene Bennight | Counselor | 2100 E Post Oak Rd, Norman, OK 73072-8527 | 2017-03-29 |
| 1386002418 | Darci Ann Corbin | Counselor | 301 Willow Branch Rd Apt B, Norman, OK 73072-4567 | 2016-02-03 |
| 1285008458 | James Christopher Redman | Counselor | 3501 Stonebrook Dr, Norman, OK 73072-9101 | 2015-11-25 |
| Find all providers in NORMAN | ||||
Please comment or provide details below to improve the information on BROOKE ASHLEY PENDERGRAFT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.