Organization Active NPI

Counseling Associates of Edmond, PC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1154756138
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2554 Issued in OK
Legal business name
COUNSELING ASSOCIATES OF EDMOND, PC
Practice address
1601 Medical Center Dr
Suite 7
Edmond, OK 73034-6359
Phone
(405) 285-4700
Fax
(405) 285-4767
NPI assigned
Sep 9, 2013
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Deborah Jayne Moore, LPCNPI 1154466886
Title
Owner
Phone
(405) 285-4700

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
Mental Health Counselor 101YM0800X 2554 OK Primary

Addresses

Primary practice location

1601 Medical Center Dr
Suite 7
Edmond, OK 73034-6359

Mailing address

1601 Medical Center Dr
Suite 7
Edmond, OK 73034-6359
Phone (405) 285-4700

Other identifiers 3

IdentifierTypeStateIssuer
3394233OtherAETNA
576339000OtherMAGELLAN
5577770OtherVALUE OPTIONS

National Provider Directory

National Provider Directory

Locations

1601 Medical Center Dr
Ste 7
Edmond, OK 73034
Phone (405) 285-4700

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1154756138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL CENTER DR",
            "address_2": "SUITE 7",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346359",
            "telephone_number": "405-285-4700",
            "fax_number": "405-285-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL CENTER DR",
            "address_2": "SUITE 7",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346359",
            "telephone_number": "405-285-4700",
            "fax_number": "405-285-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF EDMOND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-285-4700",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3394233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "576339000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "5577770",
            "state": null
        }
    ],
    "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 Sep 9, 2013; 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.