Individual provider Active NPI

Abraham Asare, REV

  • Pastoral Counselor
  • Oklahoma City, OK
National Provider Identifier
1053738153
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
700 NE 122ND St Apt 3807
Oklahoma City, OK 73114-8161
Phone
(630) 235-7717
Fax
(405) 478-4352
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

700 NE 122ND St Apt 3807
Oklahoma City, OK 73114-8161

Mailing address

700 NE 122ND St Apt 3807
Oklahoma City, OK 73114-8161
Phone (630) 235-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1053738153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE 122ND ST APT 3807",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148161",
            "telephone_number": "630-235-7717",
            "fax_number": "405-478-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 122ND ST APT 3807",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148161",
            "telephone_number": "630-235-7717",
            "fax_number": "405-478-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASARE",
        "first_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "credential": "REV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.