Megan Ibanez LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MEGAN IBANEZ LLC

Practice address

2417 NW 161St St
Edmond, OK 73013-1299

Phone

(405) 519-6295

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Megan Nicole Ibanez, MAMFT

Title

Therapist

Phone

(405) 519-6295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1346547130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 NW 161ST ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131299",
            "telephone_number": "405-519-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 NW 161ST ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131299",
            "telephone_number": "405-519-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN IBANEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-519-6295",
        "authorized_official_credential": "MAMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.