Organization Active NPI

Center 4 Change, L.L.C.

Doing business as Center 4 Change

  • Professional Counselor
  • McAlester, OK
National Provider Identifier
1437468725
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4163 Issued in OK
Legal business name
CENTER 4 CHANGE, L.L.C.
Doing business as
Center 4 Change
Practice address
111 S Main St
McAlester, OK 74501-5363
Phone
(918) 694-9677
Fax
(918) 423-5255
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Ms. Barbara J. Countz, M.ED., L.P.C.
Title
President
Phone
(918) 694-9677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4163 OK Primary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X 133823 OK

Addresses

Primary practice location

111 S Main St
McAlester, OK 74501-5363

Mailing address

111 S Main St
McAlester, OK 74501-5363
Phone (918) 694-9677

Other names 1

  • Center 4 Change Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center 4 Change3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

111 S Main St
McAlester, OK 74501
Phone (918) 423-5204

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1437468725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015363",
            "telephone_number": "918-694-9677",
            "fax_number": "918-423-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015363",
            "telephone_number": "918-694-9677",
            "fax_number": "918-423-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER 4 CHANGE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "COUNTZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-694-9677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4163",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "OK",
            "license": "133823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center 4 Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.