Active NPI
Amber Stewart, MS, LPC
- Counselor
- Tahlequah, OK
National Provider Identifier
1174791693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4081
- Practice address
- 711 S Muskogee Ave
Tahlequah, OK 74464-4717 - Phone
- (918) 207-0078
- Fax
- (918) 207-0558
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4081 | OK | Primary |
Addresses
Primary practice location
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Mailing address
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone (918) 207-0078
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100685660A | Medicaid | OK | |
| 100685660D | Medicaid | OK |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4081 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1174791693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S MUSKOGEE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644717",
"telephone_number": "918-207-0078",
"fax_number": "918-207-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S MUSKOGEE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644717",
"telephone_number": "918-207-0078",
"fax_number": "918-207-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "AMBER",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "4081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100685660A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100685660D",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.