NPIMap

Organization Active NPI

Mustang Counseling Services LLC

  • Professional Counselor
  • Mustang, OK
National Provider Identifier
1245776111
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6047 Issued in OK
Legal business name
MUSTANG COUNSELING SERVICES LLC
Practice address
609 N Chisholm Trail Way
Mustang, OK 73064-3644
Phone
(405) 353-0203
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Shayla Hanselman, M.A, LPCNPI 1366859605
Title
Therapist
Phone
(405) 353-0203

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: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6047 OK Primary

Addresses

Primary practice location

609 N Chisholm Trail Way
Mustang, OK 73064-3644

Mailing address

609 N Chisholm Trail Way
Mustang, OK 73064-3644

National Provider Directory

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": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1245776111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CHISHOLM TRAIL WAY",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CHISHOLM TRAIL WAY",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643644",
            "telephone_number": "405-353-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "HANSELMAN",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-353-0203",
        "authorized_official_credential": "M.A, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.