Active NPI
Saundra Lynn Stone
- Professional Counselor
- Broken Arrow, OK
National Provider Identifier
1114238862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2498 W New Orleans St
Broken Arrow, OK 74011-1590 - Phone
- (918) 505-4367
- NPI assigned
- Jun 28, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2498 W New Orleans St
Broken Arrow, OK 74011-1590
Mailing address
3813 S 196TH East Ave
Broken Arrow, OK 74014-1608
Phone (918) 640-0621
Other practice location 1
2035 W Houston St Ste A
Broken Arrow, OK 74012-8792
Phone (918) 505-4367
Other practice location 2
3813 S 196th East Ave
Broken Arrow, OK 74014-1608
Phone (918) 640-0621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 12, 2024 through Sep 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling Service | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1114238862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3813 S 196TH EAST AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740141608",
"telephone_number": "918-640-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2498 W NEW ORLEANS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111590",
"telephone_number": "918-505-4367"
}
],
"practiceLocations": [
{
"address_1": "2035 W Houston St Ste A",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740128792",
"country_code": "US",
"telephone_number": "918-505-4367",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3813 S 196th East Ave",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740141608",
"country_code": "US",
"telephone_number": "918-640-0621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "SAUNDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.