Organization Active NPI

Krista Hearon LPC LLC

  • Counselor
  • Sapulpa, OK
National Provider Identifier
1003538364
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KRISTA HEARON LPC LLC
Practice address
1515 Edgewood LN
Sapulpa, OK 74066-4929
Phone
(405) 938-5786
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krista Hearon, LPCNPI 1003324286
Title
Owner
Phone
(405) 938-5786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1515 Edgewood LN
Sapulpa, OK 74066-4929

Mailing address

1515 Edgewood LN
Sapulpa, OK 74066-4929
Phone (405) 938-5786

Other practice location 1

2513 S Kelly Ave Ste 140
Edmond, OK 73013-3896
Phone (405) 696-7509

Other practice location 2

6907 NW 122nd St
Oklahoma City, OK 73142-3903
Phone (405) 696-7509

Other identifiers 1

IdentifierTypeStateIssuer
07334OtherOKLPC LICENSE

Other names 1

  • Krista Bates LPC LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

6907 NW 122nd St
Oklahoma City, OK 73142
Phone (405) 623-7163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1003538364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EDGEWOOD LN",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664929",
            "telephone_number": "405-938-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EDGEWOOD LN",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664929",
            "telephone_number": "405-938-5786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 S Kelly Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133896",
            "country_code": "US",
            "telephone_number": "405-696-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6907 NW 122nd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731423903",
            "country_code": "US",
            "telephone_number": "405-696-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTA HEARON LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "HEARON",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-938-5786",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "07334",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krista Bates LPC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.