Individual provider Active NPI

Felicia Renee Pearce

  • Counselor
  • McAlester, OK
National Provider Identifier
1194095364
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1602 N D St
McAlester, OK 74501-2314
Phone
(918) 426-1614
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1602 N D St
McAlester, OK 74501-2314

Mailing address

307 W Turnpike Rd
McAlester, OK 74501-2580
Phone (918) 429-5115

Other practice location 1

HC 73 Box 19-7
Hartshorne, OK 74547-9515
Phone (918) 429-5115

Other identifiers 1

IdentifierTypeStateIssuer
1194095364MedicaidOK

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oklahoma Treatment Services, Inc. PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1194095364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W TURNPIKE RD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745012580",
            "telephone_number": "918-429-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N D ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745012314",
            "telephone_number": "918-426-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 73 Box 19-7",
            "address_purpose": "LOCATION",
            "city": "Hartshorne",
            "state": "OK",
            "postal_code": "745479515",
            "country_code": "US",
            "telephone_number": "918-429-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "FELICIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194095364",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.