International Business Enterprise, Ibe

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302848 Issued in OK

Legal business name

INTERNATIONAL BUSINESS ENTERPRISE, IBE

Doing business as

A1 Excellent Counseling Services

Practice address

5714 S Western Ave
Oklahoma City, OK 73109-4515

Phone

(405) 922-0045

NPI assigned

Sep 12, 2015

Last updated

Sep 12, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

INTERNATIONAL BUSINESS ENTERPRISEAs reported in NPPES

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

Authorized official

Name

Theophilus Amangaeteogo Depona

Title

President / Director

Phone

(405) 922-0045

Specialties & licenses 1

Addresses

Other names 1

• A1 EXCELLENT COUNSELING SERVICES Doing business as

Part of

International Business Enterprise Ibe

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1225406895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SUMMER SET TRL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126642",
            "telephone_number": "405-922-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094515",
            "telephone_number": "405-922-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL BUSINESS ENTERPRISE, IBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNATIONAL BUSINESS ENTERPRISE",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "DEPONA",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_middle_name": "AMANGAETEOGO",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "405-922-0045"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "302848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 EXCELLENT COUNSELING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.