Organization Active NPI

Jillian Faulkner Counseling Services LLC

  • Professional Counselor
  • Ada, OK
National Provider Identifier
1023462363
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5324 Issued in OK
Legal business name
JILLIAN FAULKNER COUNSELING SERVICES LLC
Practice address
2100 N Broadway Ave
Ada, OK 74820-1048
Phone
(580) 310-4336
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Jillian Faulkner, LPC
Title
President
Phone
(580) 310-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5324 OK Primary

Addresses

Primary practice location

2100 N Broadway Ave
Ada, OK 74820-1048

Mailing address

2100 N Broadway Ave
Ada, OK 74820-1048

National Provider Directory

National Provider Directory

Locations

2100 N Broadway Ave
Ada, OK 74820
Phone (580) 436-7120

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1023462363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-310-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN FAULKNER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-310-4336",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.