Active NPI
Community Counseling of Owasso, LLC
- Mental Health Counselor
- Owasso, OK
National Provider Identifier
1063946168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6134
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200546520A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI 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.