Active NPI
Cody Don Stephens
- Counselor
- Tishomingo, OK
National Provider Identifier
1073958211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 501 N Fisher St Apt 9
Tishomingo, OK 73460-1318 - Phone
- (580) 920-5745
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
501 N Fisher St Apt 9
Tishomingo, OK 73460-1318
Mailing address
501 N Fisher St Apt 9
Tishomingo, OK 73460-1318
Phone (580) 920-5745
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": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1073958211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N FISHER ST APT 9",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734601318",
"telephone_number": "580-920-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N FISHER ST APT 9",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734601318",
"telephone_number": "580-920-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CODY",
"middle_name": "DON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tishomingo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.