NPIMap

Organization Active NPI

Edmond Family Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edmond, OK
National Provider Identifier
1467570101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EDMOND FAMILY COUNSELING, INC.
Practice address
1251 N Broadway
Suite C
Edmond, OK 73034-3616
Phone
(405) 341-3554
Fax
(405) 341-3511
NPI assigned
Mar 27, 2007
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. Jackie L Shaw, LPC, LMFT
Title
Executive Director
Phone
(405) 341-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1251 N Broadway
Suite C
Edmond, OK 73034-3616

Mailing address

1251 N Broadway
Suite C
Edmond, OK 73034-3616
Phone (405) 341-3554

National Provider Directory

National Provider Directory

Locations

1251 N Broadway
Ste C
Edmond, OK 73034
Phone (405) 341-3554

Practitioners & affiliated clinicians

Practitioners 5

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467570101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N BROADWAY",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343616",
            "telephone_number": "405-341-3554",
            "fax_number": "405-341-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N BROADWAY",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343616",
            "telephone_number": "405-341-3554",
            "fax_number": "405-341-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-341-3554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, 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.