Organization Active NPI

Counseling Dynamics and Recovery Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1447854229
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNSELING DYNAMICS AND RECOVERY SERVICES LLC
Practice address
5350 E 46TH St Ste 127
Tulsa, OK 74135-6601
Phone
(918) 408-4366
Fax
(918) 292-8779
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Stanley M Ndungu, THERAPISTNPI 1962753046
Title
LPC
Phone
(918) 408-4366

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
Case Management Agency 251B00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5350 E 46TH St Ste 127
Tulsa, OK 74135-6601

Mailing address

5319 E 95TH St
Tulsa, OK 74137-4423
Phone (918) 408-4366

National Provider Directory

National Provider Directory
Tax ID family
Counseling Dynamics and Recovery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5350 E 46th St
Ste 127
Tulsa, OK 74135
Phone (918) 408-4366

Practitioners & affiliated clinicians

Practitioners 1

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1447854229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 E 95TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374423",
            "telephone_number": "918-408-4366",
            "fax_number": "918-292-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E 46TH ST STE 127",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356601",
            "telephone_number": "918-408-4366",
            "fax_number": "918-292-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING DYNAMICS AND RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "918-408-4366",
        "authorized_official_credential": "THERAPIST"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.