NPIMap

Organization Active NPI

Advance Counseling, PC

  • Community/Behavioral Health Agency
  • Edmond, OK
National Provider Identifier
1386996197
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2578 Issued in OK
Legal business name
ADVANCE COUNSELING, PC
Practice address
708 W 15TH St
Suite 120
Edmond, OK 73013-3750
Phone
(405) 844-8085
Fax
(405) 285-1652
NPI assigned
Oct 4, 2012
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dwight Gaston
Title
President
Phone
(405) 844-8085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2578 OK
Community/Behavioral Health Agency 251S00000X 2578 OK Primary

Addresses

Primary practice location

708 W 15TH St
Suite 120
Edmond, OK 73013-3750

Mailing address

1015 Waterwood Pkwy
Suite GB2
Edmond, OK 73034-5327
Phone (405) 844-8085

Other identifiers 1

IdentifierTypeStateIssuer
200020790GMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Advance Counseling PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1386996197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WATERWOOD PKWY",
            "address_2": "SUITE GB2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345327",
            "telephone_number": "405-844-8085",
            "fax_number": "405-285-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W 15TH ST",
            "address_2": "SUITE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133750",
            "telephone_number": "405-844-8085",
            "fax_number": "405-285-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-844-8085"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "2578",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020790G",
            "state": "OK"
        }
    ],
    "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 Oct 4, 2012; 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.