Association of Catholic Counselors

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ASSOCIATION OF CATHOLIC COUNSELORS

Doing business as

St Augustine Behavioral Health System

Practice address

1216 W Honolulu St
Broken Arrow, OK 74012-7733

Phone

(918) 406-6680

Fax

(918) 994-7940

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin George Stephenson, LPC-SNPI 1619584018

Title

Executive Director

Phone

(918) 406-6682

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Augustine Behavioral Health System Doing business as

Electronic endpoints 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Stephenson, LPC

  • Professional Counselor
  • Tulsa, OK
  • NPI 1619584018
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1043972144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W HONOLULU ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127733",
            "telephone_number": "918-406-6680",
            "fax_number": "918-994-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W HONOLULU ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127733",
            "telephone_number": "918-406-6680",
            "fax_number": "918-994-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF CATHOLIC COUNSELORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-406-6682",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708550",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "TherapyNotes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 W Honolulu St",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740127733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "TherapyNotes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 W Honolulu St",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740127733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "TherapyNotes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 W Honolulu St",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740127733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Augustine Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Elane Ashley, PA-C
• Taryn Ashley, CF-SLP
• Hannah Aslinger
• Aspen Children's Clinic of Broken Arrow Inc.
• Aspen Medical Imaging Inc
• Charles Vernon Atkins Jr.
• Kristen R Atkins
• Kelly P Austin
• Autism Behavior Consultants of Oklahoma, LTD
• Auxilium Health Network, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.