Organization Active NPI

At Ease Counseling Services, PLLC

  • Mental Health Counselor
  • Warr Acres, OK
National Provider Identifier
1336972272
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AT EASE COUNSELING SERVICES, PLLC
Doing business as
At Ease Counseling Services, PLLC
Practice address
5601 NW 72ND St Ste 234
Warr Acres, OK 73132-5920
Phone
(405) 822-4372
Fax
(405) 349-4433
NPI assigned
Aug 26, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Michael S Radonski, LCSWNPI 1942819081
Title
Owner
Phone
(405) 822-4372

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

5601 NW 72ND St Ste 234
Warr Acres, OK 73132-5920

Mailing address

5601 NW 72ND St Ste 234
Warr Acres, OK 73132-5920
Phone (405) 822-4372

Other names 1

  • At Ease Counseling Services, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124004461 OK Part B Supplier - Clinic/Group Practice 0840782165 Receives reassigned benefits from 2 practitioners
Practice locations: Warr Acres, OK

National Provider Directory

National Provider Directory

Locations

5601 NW 72nd St
Ste 234
Warr Acres, OK 73132
Phone (405) 367-3927

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1336972272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NW 72ND ST STE 234",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325920",
            "telephone_number": "405-822-4372",
            "fax_number": "405-349-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NW 72ND ST STE 234",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325920",
            "telephone_number": "405-822-4372",
            "fax_number": "405-349-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT EASE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "RADONSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-822-4372",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Ease Counseling Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warr Acres, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.