Active NPI
Jillian Faulkner Counseling Services LLC
- Professional Counselor
- Ada, OK
National Provider Identifier
1023462363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5324
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.