Fady Srour, M.A, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

19426 E 49TH St S
Broken Arrow, OK 74014-1330

Phone

(918) 355-4253

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033236476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19426 E 49TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19426 E 49TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141330",
            "telephone_number": "918-355-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROUR",
        "first_name": "FADY",
        "credential": "M.A, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Spence, LMFT
• Teryl A Sperle, O.T.
• Sheena M Spies
• Taylor J Sprague, DDS
• Spring Dental-Broken Arrow
• St John Villas Inc (Franciscan Villa)
• St. John Broken Arrow, Inc (Ascension St. John Jenks)
• St. John Encompass Health Rehabilitation Hospital, LLC (Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health)
• St.John Villas Inc (Franciscan Villa)
• McKenzie Stabler

• Professional Counselor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.