Community Network Counseling Service Ok LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COMMUNITY NETWORK COUNSELING SERVICE OK LLC

Practice address

223 E Terrace Ave
Clinton, OK 73601-4857

Phone

(702) 205-7501

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Essence Bolden

Title

Owenr/Manager

Phone

(702) 205-7501

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1184429201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E TERRACE AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736014857",
            "telephone_number": "702-205-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E TERRACE AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736014857",
            "telephone_number": "702-205-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NETWORK COUNSELING SERVICE OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "ESSENCE",
        "authorized_official_title_or_position": "OWENR/MANAGER",
        "authorized_official_telephone_number": "702-205-7501"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Ann Cloninger
• Angela Carin Cloud, LPN
• James Doyle Coffey, O.D.
• Melissa Suzanne Collins
• Tara Comingdeer Fields, OD
• Consolidated Oilfield Rentals Inc
• Jason Cornelius, MED., CM-A
• Kelly Anne Cornell, PHARM.D.
• Shay Gabrielle Corrie
• Erika A Crawford, DDS

• Professional Counselor in Clinton, OK
• Providers in Clinton, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.