Active NPI
Inchul Nam, LPC
- Professional Counselor
- Moore, OK
National Provider Identifier
1164738316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4923
- Practice address
- 412 N. Telephone Rd.
Moore, OK 73160 - Phone
- (405) 794-5552
- Fax
- (405) 759-2492
- NPI assigned
- Aug 25, 2010
- Last updated
- Mar 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 4923 | OK | Primary |
Addresses
Primary practice location
412 N. Telephone Rd.
Moore, OK 73160
Mailing address
412 N. Telephone Rd.
Moore, OK 73160
Phone (405) 794-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Counseling, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1164738316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N. TELEPHONE RD.",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-794-5552",
"fax_number": "405-759-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 N. TELEPHONE RD.",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-794-5552",
"fax_number": "405-759-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "INCHUL",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-25",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.