RANDI BROCKHAUS (NPI# 1710234067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710234067 |
| Entity Type | Individual |
| Full Name | RANDI BROCKHAUS |
| Practice Address |
310 12th Ave Ne Norman OK 73071-5238 |
| Practice Telephone | 4052178400 |
| Mailing Telephone | 4052178400 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
310 12TH AVE NE |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346424363 | Southern Plains Treatment Services | Psychiatric Residential Treatment Facility | 310 12th Ave Ne, Norman, OK 73071-5238 | 2007-12-27 |
| 1336585538 | Dayspring Counseling, LLC | Community/Behavioral Health | 310 12th Ave Ne, Norman, OK 73071-5238 | 2013-05-14 |
| 1447592332 | Jacqueline Sade Lee | Case Manager/Care Coordinator | 310 12th Ave Ne, Norman, OK 73071-5238 | 2013-03-19 |
| 1205183787 | Tarika Chappell | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-08-14 |
| 1720334105 | Lauren Debose | Social Worker | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-08-03 |
| 1093073603 | Nicole Williams | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-05-02 |
| 1538425707 | Ashley Cole | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-04-02 |
| 1164795035 | Jasmine Jackson | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-02-22 |
| 1396018263 | Jordan Langford | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-02-22 |
| 1184995607 | Rebecca Wilson | Counselor | 310 12th Ave Ne, Norman, OK 73071-5238 | 2012-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1003460866 | Debra Petry Smith, M.a., Lpc | Counselor | 2500 Mcgee Dr Ste 108, Norman, OK 73072-6705 | 2019-07-30 |
| 1881197531 | Martecia Oates | Counselor | 101 Andover Dr Apt P8, Norman, OK 73071-2886 | 2018-03-08 |
| 1831600857 | Beatrice Waller | Counselor | 2500 Shoreline Dr, Norman, OK 73026-1319 | 2017-10-17 |
| 1720504608 | Megan Elise Cross | Counselor | 1604 Northcrest Dr, Norman, OK 73071-7415 | 2017-08-22 |
| 1437673472 | Omonigho A'shayla Omokhomion | Counselor | 201 Collier Dr Ste 600, Norman, OK 73069-5209 | 2017-08-01 |
| 1033658182 | Monica Pevehouse | Counselor | 4113 Mayfair Dr, Norman, OK 73072-2243 | 2017-02-21 |
| 1578014031 | Heritage Therapeutic Services | Counselor | 121 Collier Dr Ste 600, Norman, OK 73069-5279 | 2016-10-20 |
| 1609324037 | Edie Rasmussen | Counselor | 318 N Peters Ave, Norman, OK 73069-7245 | 2016-09-14 |
| 1356896112 | Shannon Murphy | Counselor | 112 W Frank St, Norman, OK 73069-7748 | 2016-08-22 |
| Find all providers in NORMAN | ||||
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| 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.