Jerry Stankewitz M.Ed., LPC PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6081 Issued in OK

Legal business name

JERRY STANKEWITZ M.ED., LPC PLLC

Practice address

1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268

Phone

(918) 839-5105

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Jerry Stankewitz, M.ED., LPC

Title

Licensed Professional Counselor

Phone

(918) 647-1642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1487169629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28894 HUCKLEBERRY LN",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749538724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S BROADWAY AVE STE 2",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535268",
            "telephone_number": "918-839-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY STANKEWITZ M.ED., LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "STANKEWITZ",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "918-647-1642",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.