Organization Active NPI

S.O.S. Counseling Group of Oklahoma

  • Professional Counselor
  • Lawton, OK
National Provider Identifier
1356710180
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5646 Issued in OK
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

Updated by the provider on Sep 22, 2015

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200432390BMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.