Sundance Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SUNDANCE COUNSELING SERVICES, LLC

Practice address

13413 E 106TH St N
Owasso, OK 74055-5910

Phone

(918) 928-2601

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Jeffery Stewart, PC

Title

Owner

Phone

(918) 928-2601

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1477166296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740551194",
            "telephone_number": "918-928-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13413 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555910",
            "telephone_number": "918-928-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-928-2601",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Stuckey
• Lavern Jennie Sullins, LMT, MLD-C
• Ashley Sullivan, PHARM. D.
• Gabriela Summerlin
• Christina Lorene Summers, M.S. CCC-SLP
• Benjamin R. Swacha, D.C.
• Kelly Marie Swan, PTA
• Richelle Swearingen, PHARM D
• Keelie Mischelle Sweet, LPC
• Anthony Joseph Sylvester, PT

• Professional Counselor in Owasso, OK
• Providers in Owasso, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.