Blue Lotus Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4951 Issued in OK

Legal business name

BLUE LOTUS COUNSELING, PLLC

Practice address

19216 W Pettit Bay Rd
Park Hill, OK 74451-3010

Phone

(918) 458-7046

NPI assigned

Jul 13, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Marie Ballew, MSW, LCSW

Title

Owner

Phone

(918) 458-7046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1235513045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19216 W PETTIT BAY RD",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513010",
            "telephone_number": "918-458-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19216 W PETTIT BAY RD",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513010",
            "telephone_number": "918-458-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LOTUS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-458-7046",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl D Beaman, BHRS
• Marion Dean Bloss, DPH
• Elaine Laverne Clinton, D.C.
• James S. Colbert Jr.
• Brian Eugene Cookson, ARNP FNPC
• Lynn Cyert, OD
• Kelly Lynn Davis

• Clinical Social Worker in Park Hill, OK
• Providers in Park Hill, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.