NPIMap

Organization Active NPI

Community Counselors Group Inc.

  • Community/Behavioral Health Agency
  • Hartshorne, OK
National Provider Identifier
1245516905
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2158 Issued in OK
Legal business name
COMMUNITY COUNSELORS GROUP INC.
Practice address
310 S 10TH St
Hartshorne, OK 74547-4212
Phone
(918) 297-3400
Fax
(918) 297-3401
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Ruby Aline Riley, LPC
Title
Owner
Phone
(918) 297-2609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2158 OK Primary

Addresses

Primary practice location

310 S 10TH St
Hartshorne, OK 74547-4212

Mailing address

310 S 10TH St
Hartshorne, OK 74547-4212
Phone (918) 297-3400

National Provider Directory

National Provider Directory
Tax ID family
Community Counselors Group Inc2 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.

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": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1245516905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 10TH ST",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745474212",
            "telephone_number": "918-297-3400",
            "fax_number": "918-297-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 10TH ST",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745474212",
            "telephone_number": "918-297-3400",
            "fax_number": "918-297-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELORS GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "ALINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-297-2609",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "2158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartshorne, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.