BROOK BEAVERS (NPI# 1982127395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982127395 |
| Entity Type | Individual |
| Full Name | BROOK BEAVERS |
| Credential | M.ED., LPC |
| Practice Address |
4045 Nw 64th St Ste 520 Oklahoma City OK 73116-8608 |
| Mailing Address |
Po Box 722041 Norman OK 73070-8548 |
| Practice Telephone | 4058424911 |
| Practice Fax Number | 4058425807 |
| Mailing Telephone | 4058314125 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2115 | OK | Behavioral Health & Social Service Providers |
| Street Address |
4045 NW 64TH ST STE 520 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788050 | Rose Mary Ponder | Social Worker | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2019-09-04 |
| 1558835629 | Dena Denise Francis | Social Worker | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2019-01-11 |
| 1134625429 | Robert David Young | Social Worker | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1902451040 | Latonyia Yvette Rogers | Counselor | 4001 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2683 | 2019-08-06 |
| 1679139182 | Teresa Ann Larkin | Counselor | 1916 Nw 17th St, Oklahoma City, OK 73106-1804 | 2019-05-10 |
| 1326511767 | Andrea Burton | Counselor | 2724 Plymouth Ln, Oklahoma City, OK 73120-3016 | 2019-01-08 |
| 1659840064 | It Starts With You, Lpc Pllc | Counselor | 200 N Harvey Ave Apt 906, Oklahoma City, OK 73102-4023 | 2018-11-14 |
| 1164939765 | Personal Revolutions Behavioral Health Services, LLC | Counselor | 6801 S Western Ave Ste 105, Oklahoma City, OK 73139-1816 | 2018-01-04 |
| 1285143370 | Elizabeth M. Cocke, LLC | Counselor | 1826 Westminster Pl, Oklahoma City, OK 73120-4702 | 2017-09-21 |
| 1003331075 | Oden Counseling, Pllc | Counselor | 3033 Nw 63rd St Ste 151e, Oklahoma City, OK 73116-3634 | 2017-08-10 |
| 1154843811 | Stephanie Morgan Wangler | Counselor | 3601 N Classen Blvd Ste 107, Oklahoma City, OK 73118-3231 | 2017-07-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on BROOK BEAVERS.
| 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.