Organization Active NPI

Growth Counseling and Consulting

  • Social Worker
  • Wilburton, OK
National Provider Identifier
1295380236
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
GROWTH COUNSELING AND CONSULTING
Practice address
301 E Main St Ste B
Wilburton, OK 74578-4416
Phone
(918) 407-2662
Fax
(918) 917-5261
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Stormy Lee Bullard, MBR
Title
Coo/ Therapist
Phone
(918) 407-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

301 E Main St Ste B
Wilburton, OK 74578-4416

Mailing address

301 E Main St Ste B
Wilburton, OK 74578-4416
Phone (918) 407-2662

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL okgrowcc@gmail.com

National Provider Directory

National Provider Directory

Locations

301 E Main St
Ste B
Wilburton, OK 74578
Phone (918) 407-2662

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1295380236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST STE B",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784416",
            "telephone_number": "918-407-2662",
            "fax_number": "918-917-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST STE B",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784416",
            "telephone_number": "918-407-2662",
            "fax_number": "918-917-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "STORMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COO/ THERAPIST",
        "authorized_official_telephone_number": "918-407-2662",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "okgrowcc@gmail.com",
            "affiliation": "N",
            "address_1": "301 E Main St Ste B",
            "city": "Wilburton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745784416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilburton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.