Individual provider Active NPI

Abel Vaughn-Valencia

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1184483224
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCCANDIDATE12080 Issued in OK
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

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Former name

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

LicenseStateTypeSpecialty
LPCCANDIDATE12080OKMDProfessional 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.

Verify at the official NPI Registry.