Organization Active NPI

Nan McGowen, PLLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1083068282
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1210 Issued in OK
Legal business name
NAN MCGOWEN, PLLC
Practice address
4500 N Classen Blvd Ste 201
Oklahoma City, OK 73118-4823
Phone
(405) 606-1314
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Nan McGowen, MS, LADC-MH
Title
President
Phone
(405) 606-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1210 OK Primary

Addresses

Primary practice location

4500 N Classen Blvd Ste 201
Oklahoma City, OK 73118-4823

Mailing address

4500 N Classen Blvd Ste 201
Oklahoma City, OK 73118-4823
Phone (405) 606-1314

National Provider Directory

National Provider Directory

Locations

4500 N Classen Blvd
Ste 201
Oklahoma City, OK 73118
Phone (405) 606-1314

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1083068282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N CLASSEN BLVD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184823",
            "telephone_number": "405-606-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N CLASSEN BLVD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184823",
            "telephone_number": "405-606-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAN MCGOWEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "MCGOWEN",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-606-1314",
        "authorized_official_credential": "MS, LADC-MH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1210",
            "primary": true
        }
    ],
    "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 Apr 14, 2016; 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.