Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508113630 Individual Practitioner Female Practitioner

Angela Sibeso Ogunbase , LADC, MH

Counselor - Addiction (Substance Use Disorder) • Stillwater, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Angela Ogunbase, LADC, MH is a certified Counselor - Addiction (Substance Use Disorder) practicing in Stillwater, OK. With approximately 12 years of clinical experience since completing medical education in 2014, Angela Ogunbase delivers high-quality medical care to the local community at 1624 CIMARRON PLZ.

Angela Ogunbase is affiliated with Grand Lake Mental Health Center, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1624 Cimarron Plz

Stillwater, OK 740753467

Telephone 4053722202
Fax 4053722237
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Stillwater, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -3.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
29 Specialists

Practicing in Stillwater, OK (1474 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ogunbase (12 Years) 12 Yrs
Stillwater Specialty Average (15.3 Years) 15.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-03-26
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OK 1266

Definition to come...

Hospital & Practice Group Affiliations

Grand Lake Mental Health Center, Inc.

111 S Treaty Rd, Miami, OK 743545327

Phone: 9185401511

Grand Lake Mental Health Center, Inc.

604 S Walnut St, Stillwater, OK 740744222

Phone: 4053722202

Grand Lake Mental Health Center, Inc.

998 E Knotts Ave, Stillwater, OK 740753023

Phone: 4053722202

Secondary Practice Locations

4400 N Lincoln Blvd

Oklahoma City, OK 731055108

Phone: 4054247711

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dana Dawes

Case Manager/Care Coordinator

NPI 1003326554
Denise Withrow , FSP

Case Manager/Care Coordinator

NPI 1023667391
Allyson Blosser

Social Worker - Clinical

NPI 1023760519
Kaeli Hunsinger

Peer Specialist

NPI 1023771094
Shannon Aldridge

Peer Specialist

NPI 1033785191
Jacob Williams

Case Manager/Care Coordinator

NPI 1033786298

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 12, 2021

Registered at 1624 CIMARRON PLZ, STILLWATER, OK 740753467 (Tel: 4053722202)

📍
Updated Business Mailing Address August 12, 2021

Registered at 1624 CIMARRON PLZ, STILLWATER, OK 740753467 (Tel: 4053722202)

📍
Updated Practice Location April 24, 2018

Registered at 2612 N ANN ARBOR AVE APT 246, OKLAHOMA CITY, OK 731271837 (Tel: 4054643504)

📍
Updated Business Mailing Address April 24, 2018

Registered at 2612 N ANN ARBOR AVE APT 246, OKLAHOMA CITY, OK 731271837 (Tel: 4054643504)

👤
Provider Name / Credentials Updated April 24, 2018

Recorded as ANGELA OGUNBASE, LADC/MH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Counselor (License #1266 in OK)

NPI Profile Active May 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2013

Registered at 1010 E 45TH ST, SHAWNEE, OK 748042202 (Tel: 4052731170)

📍
Updated Business Mailing Address May 07, 2013

Registered at 1010 E 45TH ST, SHAWNEE, OK 748042202 (Tel: 4052731170)

👤
Provider Name / Credentials Updated May 07, 2013

Recorded as ANGELA OGUNBASE, BHRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2013

Behavior Analyst

🟢
Initial NPI Registration & Enumeration August 08, 2012

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: 1508113630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2012
Last Update: March 26, 2024
Sole Proprietor: No

Mailing Address

1624 Cimarron Plz

Stillwater, OK 740753467

Phone: 4053722202

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.