Active NPI
Stacy Ruth Cline, LPS
- Mental Health Counselor
- Hennessey, OK
National Provider Identifier
1225730906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4122
- Practice address
- 6326 State Highway 51
Hennessey, OK 73742-5010 - Phone
- (405) 853-5454
- NPI assigned
- Mar 20, 2023
- Last updated
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4122 | OK | Primary |
Addresses
Primary practice location
6326 State Highway 51
Hennessey, OK 73742-5010
Mailing address
6326 State Highway 51
Hennessey, OK 73742-5010
Phone (405) 853-5454
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4122 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1225730906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6326 STATE HIGHWAY 51",
"city": "HENNESSEY",
"state": "OK",
"postal_code": "737425010",
"telephone_number": "405-853-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6326 STATE HIGHWAY 51",
"city": "HENNESSEY",
"state": "OK",
"postal_code": "737425010",
"telephone_number": "405-853-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "STACY",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "LPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "4122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hennessey, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.