Active NPI
Abel Vaughn-Valencia
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1184483224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCCANDIDATE12080
- Practice address
- 6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286 - Phone
- (405) 810-0054
- Fax
- (405) 810-8977
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCCANDIDATE12080 | OK | Primary |
Addresses
Primary practice location
6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Mailing address
13212 SW 4TH St
Yukon, OK 73099-6169
Phone (512) 422-1651
Other practice location 1
373 S Yukon Pkwy Ste A
Yukon, OK 73099-4597
Phone (405) 810-0054
Other practice location 2
13212 SW 4th St
Yukon, OK 73099-6169
Phone (512) 422-1651
Other names 1
- Mr. Abel Valencia Jr.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCCANDIDATE12080 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1184483224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13212 SW 4TH ST",
"city": "YUKON",
"state": "OK",
"postal_code": "730996169",
"telephone_number": "512-422-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 N BROOKLINE AVE STE 112",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124286",
"telephone_number": "405-810-0054",
"fax_number": "405-810-8977"
}
],
"practiceLocations": [
{
"address_1": "373 S Yukon Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Yukon",
"state": "OK",
"postal_code": "730994597",
"country_code": "US",
"telephone_number": "405-810-0054",
"fax_number": "405-810-8977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13212 SW 4th St",
"address_purpose": "LOCATION",
"city": "Yukon",
"state": "OK",
"postal_code": "730996169",
"country_code": "US",
"telephone_number": "512-422-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHN-VALENCIA",
"first_name": "ABEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPCCANDIDATE12080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABEL",
"last_name": "VALENCIA",
"prefix": "MR.",
"suffix": "JR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.