Organization Active NPI

Peggy Grady PLLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1417379017
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4468 Issued in OK
Legal business name
PEGGY GRADY PLLC
Practice address
5131 N Classen Blvd
Ste 208
Oklahoma City, OK 73118-5258
Phone
(405) 896-3808
Fax
(405) 242-4105
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Margaret A Grady, LPC, LADCNPI 1245395011
Title
Professional Counselor
Phone
(405) 896-3808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 899 OK
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 4468 OK
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4468 OK Primary

Addresses

Primary practice location

5131 N Classen Blvd
Ste 208
Oklahoma City, OK 73118-5258

Mailing address

5131 N Classen Blvd Ste 208
Oklahoma City, OK 73118-5258
Phone (405) 896-3808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1417379017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 N CLASSEN BLVD STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185258",
            "telephone_number": "405-896-3808",
            "fax_number": "405-242-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 N CLASSEN BLVD",
            "address_2": "STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185258",
            "telephone_number": "405-896-3808",
            "fax_number": "405-242-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY GRADY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-896-3808",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "899",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4468",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.