Individual provider Active NPI

Audra Deckard, M.HR, LPC

  • Counselor
  • Eufaula, OK
National Provider Identifier
1194273797
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
118400 S 4100 Rd
Eufaula, OK 74432-3673
Phone
(918) 617-1687
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OK Primary

Addresses

Primary practice location

118400 S 4100 Rd
Eufaula, OK 74432-3673

Mailing address

118400 S 4100 Rd
Eufaula, OK 74432-3673
Phone (918) 617-1687

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
Echota Behavioral Health Services, LLC Past Accepting new patients
Echota Behavioral Health Services, LLC Past Accepting new patients
Echota Behavioral Health Services, LLC Past Accepting new patients
Myriad Counseling Solutions, LLC Past Accepting new patients
Echota Behavioral Health Services, LLC Past Accepting new patients
Echota Behavioral Health Services, LLC Past Accepting new patients
Keetoowah - Cherokee Treatment Services Past Accepting new patients
Keetoowah Cherokee Treatment Services Past Accepting new patients

Organizations & group practices 8

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1194273797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118400 S 4100 RD",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323673",
            "telephone_number": "918-617-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118400 S 4100 RD",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323673",
            "telephone_number": "918-617-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKARD",
        "first_name": "AUDRA",
        "credential": "M.HR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.