Sara Durham Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5848 Issued in OK

Legal business name

SARA DURHAM COUNSELING LLC

Practice address

1500 S Midwest Blvd
Ste. 102
Midwest City, OK 73110-4946

Phone

(405) 226-2251

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Sara Gale Durham, LPC

Title

Owner

Phone

(405) 226-2251

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1114382298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MIDWEST BLVD",
            "address_2": "STE. 102",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104946",
            "telephone_number": "405-226-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MIDWEST BLVD",
            "address_2": "STE. 102",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104946",
            "telephone_number": "405-226-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA DURHAM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-226-2251",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OK",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200458210 C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.