Organization Active NPI

Wichita Counseling Center

  • Preferred Provider Organization
  • Lawton, OK
National Provider Identifier
1376719716
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
3569 Issued in OK
Legal business name
WICHITA COUNSELING CENTER
Practice address
6217 W Gore Blvd
Lawton, OK 73505-5836
Phone
(580) 353-4357
Fax
(580) 536-5102
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Ms. Arleta Spyce Stover, LPC
Title
Owner
Phone
(580) 383-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 3569 OK Primary

Addresses

Primary practice location

6217 W Gore Blvd
Lawton, OK 73505-5836

Mailing address

6217 W Gore Blvd
Lawton, OK 73505-5836
Phone (580) 353-4357

Other identifiers 1

IdentifierTypeStateIssuer
3569OtherOKLISENSED PROFESSIONAL COUNSELOR

National Provider Directory

National Provider Directory
Tax ID family
Reflections Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6217 W Gore Blvd
Lawton, OK 73505
Phone (580) 536-5102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1376719716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-353-4357",
            "fax_number": "580-536-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055836",
            "telephone_number": "580-353-4357",
            "fax_number": "580-536-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "ARLETA",
        "authorized_official_middle_name": "SPYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-383-4357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OK",
            "license": "3569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENSED PROFESSIONAL COUNSELOR",
            "identifier": "3569",
            "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 May 6, 2008; 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.