Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Angela Sibeso Ogunbase, LADC/MH

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508113630

Mrs. Angela Sibeso Ogunbase, LADC/MH is a Mental Health Counselor in Stillwater, Oklahoma. Qualified in 2014, 12 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2012
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1624 Cimarron Plz
Stillwater, OK 74075-3467
Phone: (405) 372-2202
Fax: (405) 372-2237
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 — (405) 424-7711

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1266 (OK)

Record details

NPI number1508113630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC/MH
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stillwater