Active NPI
Alan Wishard, M.A. LPC
- Professional Counselor
- Edmond, OK
National Provider Identifier
1316318694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5741
- Practice address
- 307 E Danforth Rd
Edmond, OK 73034-4483 - Phone
- (405) 285-4700
- Fax
- (405) 285-4767
- NPI assigned
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5741 | OK | Primary |
Addresses
Primary practice location
307 E Danforth Rd
Edmond, OK 73034-4483
Mailing address
2608 Kent Dr
The Village, OK 73120-3305
Phone (405) 226-8548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1316318694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 KENT DR",
"city": "THE VILLAGE",
"state": "OK",
"postal_code": "731203305",
"telephone_number": "405-226-8548",
"fax_number": "405-285-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E DANFORTH RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344483",
"telephone_number": "405-285-4700",
"fax_number": "405-285-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHARD",
"first_name": "ALAN",
"credential": "M.A. LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.