NPIMap

Organization Active NPI

Southern Oklahoma Treatment Services

  • Addiction (Substance Use Disorder) Counselor
  • Lawton, OK
National Provider Identifier
1033456355
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SOUTHERN OKLAHOMA TREATMENT SERVICES
Practice address
1307 SW Washington Ave
Lawton, OK 73501-7231
Phone
(405) 208-9354
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Shandy Shubin
Title
Administration
Phone
(405) 208-9354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

1307 SW Washington Ave
Lawton, OK 73501-7231

Mailing address

PO Box 48
Mead, OK 73449-0048

National Provider Directory

National Provider Directory
Tax ID family
Southern Oklahoma Treatment Services Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1033456355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "MEAD",
            "state": "OK",
            "postal_code": "734490048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 SW WASHINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735017231",
            "telephone_number": "405-208-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "SHUBIN",
        "authorized_official_first_name": "SHANDY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "405-208-9354"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.