Organization Active NPI

Cottonwood Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edmond, OK
National Provider Identifier
1376165662
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COTTONWOOD COUNSELING, LLC
Practice address
1712 S Boulevard
Edmond, OK 73013-5144
Phone
(405) 464-7244
NPI assigned
May 11, 2020
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Amber JonesNPI 1922244847
Title
Clinical Social Worker
Phone
(405) 464-7244

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1712 S Boulevard
Edmond, OK 73013-5144

Mailing address

19133 Cottonwood CT
Edmond, OK 73012-9771
Phone (405) 464-7244

National Provider Directory

National Provider Directory

Locations

1712 S Boulevard
Edmond, OK 73013
Phone (405) 606-5768

Practitioners & affiliated clinicians

Practitioners 1

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1376165662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19133 COTTONWOOD CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129771",
            "telephone_number": "405-464-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S BOULEVARD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135144",
            "telephone_number": "405-464-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "405-464-7244"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "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 May 11, 2020; 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.