Active NPI
Stephanie Dawn Hathcoat, CADC US
- Counselor
- Sallisaw, OK
National Provider Identifier
1184825523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1515 W Chickasaw Ave
Sallisaw, OK 74955-7201 - Phone
- (918) 775-2657
- Fax
- (918) 775-0439
- NPI assigned
- May 31, 2007
- 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 | Primary |
Addresses
Primary practice location
1515 W Chickasaw Ave
Sallisaw, OK 74955-7201
Mailing address
PO Box 2
Park Hill, OK 74451-0002
Phone (918) 775-2657
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184825523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "PARK HILL",
"state": "OK",
"postal_code": "744510002",
"telephone_number": "918-775-2657",
"fax_number": "918-775-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W CHICKASAW AVE",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749557201",
"telephone_number": "918-775-2657",
"fax_number": "918-775-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHCOAT",
"first_name": "STEPHANIE",
"middle_name": "DAWN",
"name_prefix": "Miss",
"credential": "CADC US",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.