Active NPI
S.O.S. Counseling Group of Oklahoma
- Professional Counselor
- Lawton, OK
National Provider Identifier
1356710180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5646
- Legal business name
- S.O.S. COUNSELING GROUP OF OKLAHOMA
- Practice address
- 1930 NW Ferris Ave
Suite 2
Lawton, OK 73507-5626 - Phone
- (580) 678-3424
- NPI assigned
- Sep 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Matlock-Parson, MHR, LPC
- Title
- Owner/Ceo
- Phone
- (580) 678-3424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5646 | OK | Primary |
Addresses
Primary practice location
1930 NW Ferris Ave
Suite 2
Lawton, OK 73507-5626
Mailing address
1930 NW Ferris Ave
Suite 2
Lawton, OK 73507-5626
Phone (580) 678-3424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200432390B | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442880000000",
"number": "1356710180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 NW FERRIS AVE",
"address_2": "SUITE 2",
"city": "LAWTON",
"state": "OK",
"postal_code": "735075626",
"telephone_number": "580-678-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 NW FERRIS AVE",
"address_2": "SUITE 2",
"city": "LAWTON",
"state": "OK",
"postal_code": "735075626",
"telephone_number": "580-678-3424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.O.S. COUNSELING GROUP OF OKLAHOMA",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A",
"authorized_official_last_name": "MATLOCK-PARSON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "580-678-3424",
"authorized_official_credential": "MHR, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200432390B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.