Active NPI
NCC Partners, LLC
- Clinical Psychologist
- Norman, OK
National Provider Identifier
1205934502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NCC PARTNERS, LLC
- Practice address
- 2221 Westpark Dr
Norman, OK 73069-4070 - Phone
- (405) 360-0556
- Fax
- (405) 447-3681
- NPI assigned
- Sep 20, 2006
- 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
- Mrs. Lynda M Cerveny, LPC
- Title
- Owner
- Phone
- (405) 360-0556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
2221 Westpark Dr
Norman, OK 73069-4070
Mailing address
2221 Westpark Dr
Norman, OK 73069-4070
Phone (405) 360-0556
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100707980C | Medicaid | OK | |
| 10070980H | Medicaid | OK | |
| 200103570C | Medicaid | OK |
Other names 1
- NORMAN COUNSELING CLINIC AND SOUTH OKC COUNSELING CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2221 Westpark Dr
Norman, OK 73069
Phone (405) 360-0556
1215 Crossroads Blvd
Ste 216
Norman, OK 73072
Phone (405) 360-0556
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Norman, OK
- NPI 1023120581
-
- Clinical Social Worker
- Oklahoma City, OK
- NPI 1053507673
-
- Clinical Social Worker
- Norman, OK
- NPI 1710178330
-
- Clinical Social Worker
- Norman, OK
- NPI 1326484585
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1750323580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386547200000",
"number": "1205934502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 WESTPARK DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730694070",
"telephone_number": "405-360-0556",
"fax_number": "405-447-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 WESTPARK DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730694070",
"telephone_number": "405-360-0556",
"fax_number": "405-447-3681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NCC PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2013-12-09",
"status": "A",
"authorized_official_last_name": "CERVENY",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-360-0556",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100707980C",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10070980H",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200103570C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORMAN COUNSELING CLINIC AND SOUTH OKC COUNSELING CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.