Active NPI
Serena J Ward, M.ED., LPC
- Professional Counselor
- Chandler, OK
National Provider Identifier
1104042407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 344593 E 990 Rd
Chandler, OK 74834-4231 - Phone
- (405) 596-3833
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 214365L | OK | |
| Professional Counselor | 101YP2500X | OK | Primary | |
| Professional Counselor | 101YP2500X | 4722 | OK |
Addresses
Primary practice location
344593 E 990 Rd
Chandler, OK 74834-4231
Mailing address
344593 E 990 Rd
Chandler, OK 74834-4231
Phone (405) 596-3833
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214365L | OK | MD | Addiction (Substance Use Disorder) Counselor |
| 4722 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1104042407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344593 E 990 RD",
"city": "CHANDLER",
"state": "OK",
"postal_code": "748344231",
"telephone_number": "405-596-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344593 E 990 RD",
"city": "CHANDLER",
"state": "OK",
"postal_code": "748344231",
"telephone_number": "405-596-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "SERENA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "214365L",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.