Northstar Counseling Associates, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6765 Issued in OK

Legal business name

NORTHSTAR COUNSELING ASSOCIATES, LLC

Practice address

4540 E Reno Ave
Del City, OK 73117

Phone

(405) 623-1454

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Verner Dalmond Godwin, LPCNPI 1114939220

Title

Co-Owner

Phone

(405) 623-0154

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Verner Dalmond Godwin, LPC

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1114939220
  NPD Authorized official

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1114401387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BURK WAY",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731152012",
            "telephone_number": "405-623-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E RENO AVE",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "73117",
            "telephone_number": "405-623-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "VERNER",
        "authorized_official_middle_name": "DALMOND",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-623-0154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Del City, OK
• Providers in Del City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.