NPIMap

Organization Active NPI

Tricity Substance Abuse Center

  • Addiction (Substance Use Disorder) Counselor
  • Seminole, OK
National Provider Identifier
1396962544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TRICITY SUBSTANCE ABUSE CENTER
Practice address
214 E Oak Ave
Seminole, OK 74868-3442
Phone
(405) 382-1112
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sharon I. Knowles, CADC
Title
Executive Director
Phone
(405) 382-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

214 E Oak Ave
Seminole, OK 74868-3442

Mailing address

7855 Highway 1
Calvin, OK 74531-5029
Phone (405) 645-1057

National Provider Directory

National Provider Directory

Locations

214 E Oak Ave
Seminole, OK 74868
Phone (405) 382-1112

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396962544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HIGHWAY 1",
            "city": "CALVIN",
            "state": "OK",
            "postal_code": "745315029",
            "telephone_number": "405-645-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E OAK AVE",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "748683442",
            "telephone_number": "405-382-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICITY SUBSTANCE ABUSE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-382-1112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.