Active NPI
Richard Dean Yahola
- Professional Counselor
- Wewoka, OK
National Provider Identifier
1386939817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1531
- Practice address
- 1408 S Seminole Ave
Wewoka, OK 74884-3919 - Phone
- (469) 247-4058
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1531 | OK | Primary |
| Professional Counselor | 101YP2500X | 13457 | TX |
Addresses
Primary practice location
1408 S Seminole Ave
Wewoka, OK 74884-3919
Mailing address
1408 S Seminole Ave
Wewoka, OK 74884-3919
Phone (469) 247-4058
Other names 1
- Mr. Richard Dean Yahola
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1531 | OK | MD | Clinical Social Worker |
| 13457 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1386939817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 S SEMINOLE AVE",
"city": "WEWOKA",
"state": "OK",
"postal_code": "748843919",
"telephone_number": "469-247-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 S SEMINOLE AVE",
"city": "WEWOKA",
"state": "OK",
"postal_code": "748843919",
"telephone_number": "469-247-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAHOLA",
"first_name": "RICHARD",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1531",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13457",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "YAHOLA",
"middle_name": "DEAN",
"prefix": "MR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Wewoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.