NPIMap

Organization Active NPI

Christian Clinic for Counseling of Edmond'S First Baptist Church, Inc.

  • Counselor
  • Edmond, OK
National Provider Identifier
1114497153
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CHRISTIAN CLINIC FOR COUNSELING OF EDMOND'S FIRST BAPTIST CHURCH, INC.
Practice address
1300 E 33Rd St # B1
Edmond, OK 73013-6305
Phone
(405) 942-8888
Fax
(405) 407-2012
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Laura Piatt, M.A, LPCNPI 1952880171
Title
Managing Director
Phone
(405) 942-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1300 E 33Rd St # B1
Edmond, OK 73013-6305

Mailing address

1300 E 33Rd St # B1
Edmond, OK 73013-6305
Phone (405) 942-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190909000633 OK Part B Supplier - Clinic/Group Practice 3678802220 Receives reassigned benefits from 6 practitioners
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

1300 E 33rd St
#B1
Edmond, OK 73013
Phone (405) 942-8888

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1114497153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 33RD ST # B1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136305",
            "telephone_number": "405-942-8888",
            "fax_number": "405-407-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 33RD ST # B1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136305",
            "telephone_number": "405-942-8888",
            "fax_number": "405-407-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CLINIC FOR COUNSELING OF EDMOND'S FIRST BAPTIST CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "PIATT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "405-942-8888",
        "authorized_official_credential": "M.A, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.