Active NPI
Joseph William Telker, MSPS, LPC, UNDER SUP
- Counselor
- Grove, OK
National Provider Identifier
1376761064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1107 E 13TH St
Grove, OK 74344-7955 - Phone
- (918) 787-8744
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
1107 E 13TH St
Grove, OK 74344-7955
Mailing address
1705 Hebbert St
Grove, OK 74344-2700
Phone (573) 944-3838
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100734620-B | Medicaid | OK | |
| 100734620-D | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1376761064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 HEBBERT ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743442700",
"telephone_number": "573-944-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E 13TH ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743447955",
"telephone_number": "918-787-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELKER",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MSPS, LPC, UNDER SUP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100734620-B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100734620-D",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.