Active NPI
21Days2Change, LLC
Doing business as 21Days2Change
- Community/Behavioral Health Agency
- Oklahoma City, OK
National Provider Identifier
1053541102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- 21DAYS2CHANGE, LLC
- Doing business as
- 21Days2Change
- Practice address
- 12032 N Pennsylvania Ave
Oklahoma City, OK 73120-7827 - Phone
- (405) 816-7735
- Fax
- (405) 286-1380
- NPI assigned
- Jul 23, 2009
- Last updated
- Jul 23, 2009
- 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
- Mr. James O Hale, LPC
- Title
- Chief Operating Officer
- Phone
- (405) 816-7735
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
12032 N Pennsylvania Ave
Oklahoma City, OK 73120-7827
Mailing address
PO Box 57366
Oklahoma City, OK 73157-7366
Phone (405) 816-7735
Other names 1
- 21Days2Change
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Professional Counselor
- Oklahoma City, OK
- NPI 1922075159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248307200000",
"number": "1053541102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57366",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731577366",
"telephone_number": "405-816-7735",
"fax_number": "405-286-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12032 N PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731207827",
"telephone_number": "405-816-7735",
"fax_number": "405-286-1380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "21DAYS2CHANGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "405-816-7735",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "21Days2Change",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.