Organization Active NPI

Community Counseling of Owasso, LLC

  • Mental Health Counselor
  • Owasso, OK
National Provider Identifier
1063946168
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6134 Issued in OK
Legal business name
COMMUNITY COUNSELING OF OWASSO, LLC
Practice address
10306 N 138TH East Ave
Suite 206
Owasso, OK 74055-4665
Phone
(918) 636-5234
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Miss Heidi Hills, LPC
Title
Therapist
Phone
(918) 636-5234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6134 OK Primary

Addresses

Primary practice location

10306 N 138TH East Ave
Suite 206
Owasso, OK 74055-4665

Mailing address

10306 N 138TH East Ave
Suite 206
Owasso, OK 74055-4665
Phone (918) 636-5234

Other identifiers 1

IdentifierTypeStateIssuer
200546520AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1063946168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE",
            "address_2": "SUITE 206",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554665",
            "telephone_number": "918-636-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE",
            "address_2": "SUITE 206",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554665",
            "telephone_number": "918-636-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING OF OWASSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "918-636-5234",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200546520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.