Organization Active NPI

Guidance Counseling of Oklahoma LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1427483148
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
N65507887231 Issued in IL
Legal business name
GUIDANCE COUNSELING OF OKLAHOMA LLC
Practice address
425 W Wilshire Blvd
Suite M
Oklahoma City, OK 73116-7705
Phone
(405) 843-2067
NPI assigned
Sep 12, 2013
Last updated
Sep 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Edna M Travis
Title
Owner
Phone
(405) 843-2067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X N65507887231 IL Primary

Addresses

Primary practice location

425 W Wilshire Blvd
Suite M
Oklahoma City, OK 73116-7705

Mailing address

425 W Wilshire Blvd
Suite M
Oklahoma City, OK 73116-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318001653 OK Part B Supplier - Clinic/Group Practice 2860976891 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

425 W Wilshire Blvd
Ste M
Oklahoma City, OK 73116
Phone (405) 843-2067

437 W Wilshire Blvd
Ste C
Oklahoma City, OK 73116
Phone (405) 210-2073

Practitioners & affiliated clinicians

Practitioners 5

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": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1427483148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W WILSHIRE BLVD",
            "address_2": "SUITE M",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W WILSHIRE BLVD",
            "address_2": "SUITE M",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167705",
            "telephone_number": "405-843-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDANCE COUNSELING OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-843-2067"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "N65507887231",
            "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 Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.