Organization Active NPI

Siloam Trauma & Wellness Solutions Center

  • Professional Counselor
  • Broken Arrow, OK
National Provider Identifier
1114638780
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SILOAM TRAUMA & WELLNESS SOLUTIONS CENTER
Practice address
31609 E 64TH St S
Broken Arrow, OK 74014-8583
Phone
(918) 921-4271
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mrs. Krashelle Cuffy, LPCNPI 1306482542
Title
Owner/Licensed Therapist
Phone
(918) 921-4271

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

31609 E 64TH St S
Broken Arrow, OK 74014-8583

Mailing address

PO Box 33381
Tulsa, OK 74153-3381

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1114638780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33381",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741533381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31609 E 64TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148583",
            "telephone_number": "918-921-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM TRAUMA & WELLNESS SOLUTIONS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "CUFFY",
        "authorized_official_first_name": "KRASHELLE",
        "authorized_official_title_or_position": "OWNER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "918-921-4271",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Dec 5, 2022; 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.