Individual provider Active NPI

Olivia Pierce

  • Professional Counselor
  • Bethany, OK
National Provider Identifier
1467923490
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6612 NW 42ND St
Bethany, OK 73008-2764
Phone
(405) 717-6200
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

6612 NW 42ND St
Bethany, OK 73008-2764

Mailing address

30518 Hamilton Rd
Macomb, OK 74852-9778
Phone (405) 294-7393

Other practice location 1

30518 Hamilton Rd
Macomb, OK 74852-9778
Phone (452) 294-7393

Other identifiers 1

IdentifierTypeStateIssuer
10236OtherOKSTATE OF OKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nazarene University CurrentSince Sep 25, 2022 Accepting new patients

Locations

6612 NW 42nd St
Bethany, OK 73008
Phone (405) 693-6902

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1467923490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30518 HAMILTON RD",
            "city": "MACOMB",
            "state": "OK",
            "postal_code": "748529778",
            "telephone_number": "405-294-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 NW 42ND ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082764",
            "telephone_number": "405-717-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30518 Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "OK",
            "postal_code": "748529778",
            "country_code": "US",
            "telephone_number": "452-294-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH LICENSURE",
            "identifier": "10236",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.