Organization Active NPI

Counseling Dynamics and Recovery Services LLC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1215426465
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6137 Issued in OK
Legal business name
COUNSELING DYNAMICS AND RECOVERY SERVICES LLC
Practice address
5350 E 46TH St
Tulsa, OK 74135-6612
Phone
(918) 408-4366
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Mr. Stanley M Ndungu, LPCNPI 1962753046
Title
Therapist
Phone
(918) 408-4366

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6137 OK Primary

Addresses

Primary practice location

5350 E 46TH St
Tulsa, OK 74135-6612

Mailing address

5319 E 95TH St
Tulsa, OK 74137-4423
Phone (918) 408-4366

Other names 1

  • Counseling Dynamics and Recovery Services LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Counseling Dynamics and Recovery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5350 E 46th St
Tulsa, OK 74135
Phone (918) 346-1852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1215426465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 E 95TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374423",
            "telephone_number": "918-408-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356612",
            "telephone_number": "918-408-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING DYNAMICS AND RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "918-408-4366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Dynamics and Recovery Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.