Emily Deardorf, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4786 Issued in OK

Practice address

115 S Peters Ave
Suite 8
Norman, OK 73069-6065

Phone

(405) 701-6012

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Emily Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1376860908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S PETERS AVE",
            "address_2": "SUITE 8",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696065",
            "telephone_number": "405-701-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S PETERS AVE",
            "address_2": "SUITE 8",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696065",
            "telephone_number": "405-701-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDORF",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "COOK",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Robert De Cleene Jr.
• Josie Dean, PA
• Deann M. Gattis Psychological Services PLLC
• Deanna Winner, LCSW, P.C
• Deardorf Family Services, Inc.
• Joshua Debartolo, MHR
• Candy Lynn Debeer, COTA
• Stephanie Marie Deberry, MS, RD/LD
• Lauren Debose
• Debra Petry Smith, M.a., LPC

• Professional Counselor in Norman, OK
• Providers in Norman, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.