Active NPI
Cottonwood Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Edmond, OK
National Provider Identifier
1376165662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2020
- 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
- Amber Jones
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Counselor
- Oklahoma City, OK
- NPI 1922244847
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.