Clayton Public School

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3157 Issued in OK

Legal business name

CLAYTON PUBLIC SCHOOL

Practice address

101 Pine Street
Clayton, OK 74536-0190

Phone

(918) 569-4492

Fax

(918) 569-7757

NPI assigned

Jun 13, 2007

Last updated

Aug 22, 2020By 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. Patricia Lee Glenn

Title

Elementary Principal

Phone

(918) 569-4158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275737314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINE STREET",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360190",
            "telephone_number": "918-569-4492",
            "fax_number": "918-569-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PINE STREET",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360190",
            "telephone_number": "918-569-4492",
            "fax_number": "918-569-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ELEMENTARY PRINCIPAL",
        "authorized_official_telephone_number": "918-569-4158",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clayton, OK
• Providers in Clayton, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.