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Active NPI 1528942877 Individual Practitioner Female Practitioner

Deedra O'donnell , LPC-CANDIDATE

Counselor - Professional • Moore, OK

Professional Overview & Biography Verified Profile Summary

Deedra O'Donnell, LPC-CANDIDATE is a registered healthcare professional specializing in Counselor - Professional in Moore, OK. Practice services are available at 1400 SE 4TH ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Se 4th St Ste A

Moore, OK 731607328

Telephone 4058371033

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
38 Specialists

Practicing in Moore, OK (2681 Statewide)

Telehealth Adoption Rate
7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Lacey Woodard

Case Manager/Care Coordinator

NPI 1013792795
Adam Nusbaum

Case Manager/Care Coordinator

NPI 1083340418
William Richardson

Counselor - Professional

NPI 1093690422
NPI 1124448956

Master of Science, Licensed Professional Counselor

Jessica Borelli

Counselor - Mental Health

NPI 1194170951
Luz Venegas

Case Manager/Care Coordinator

NPI 1205522471

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2025

Registered at 1400 SE 4TH ST STE A, MOORE, OK 731607328 (Tel: 4058371033)

📍
Updated Business Mailing Address July 31, 2025

Registered at 1400 SE 4TH ST STE A, MOORE, OK 731607328

👤
Provider Name / Credentials Updated July 31, 2025

Recorded as DEEDRA O'DONNELL, LPC-CANDIDATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Counselor

🟢
Initial NPI Registration & Enumeration July 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528942877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2025
Last Update: July 31, 2025
Sole Proprietor: No

Mailing Address

1400 Se 4th St Ste A

Moore, OK 731607328

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.