Active NPI
Green Country Counseling PLLC
- Adult Mental Health Clinic/Center
- Broken Arrow, OK
National Provider Identifier
1194472084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- GREEN COUNTRY COUNSELING PLLC
- Practice address
- 3104 S Elm PL Ste G
Broken Arrow, OK 74012-7949 - Phone
- (918) 760-3164
- NPI assigned
- Mar 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Cook, MS LPC
- Title
- Owner
- Phone
- (918) 760-3164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
3104 S Elm PL Ste G
Broken Arrow, OK 74012-7949
Mailing address
3700 W Hartford St
Broken Arrow, OK 74012-2107
Phone (918) 760-3164
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Tulsa, OK
- NPI 1023380904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1194472084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 W HARTFORD ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122107",
"telephone_number": "918-760-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 S ELM PL STE G",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127949",
"telephone_number": "918-760-3164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN COUNTRY COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-760-3164",
"authorized_official_credential": "MS LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.