NPIMap

Organization Active NPI

Youth Services for Stephens County, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Duncan, OK
National Provider Identifier
1497959399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
160 Issued in OK
Legal business name
YOUTH SERVICES FOR STEPHENS COUNTY, INC.
Practice address
16 S 7TH St
Duncan, OK 73533-4940
Phone
(580) 255-8800
Fax
(580) 255-8842
NPI assigned
Jun 13, 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
Mr. John Herdt, M.C.J.A
Title
Executive Director
Phone
(580) 255-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 160 OK Primary

Addresses

Primary practice location

16 S 7TH St
Duncan, OK 73533-4940

Mailing address

16 S 7TH St
Duncan, OK 73533-4940
Phone (580) 255-8800

National Provider Directory

National Provider Directory
Tax ID family
Youth Services for Stephens County Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497959399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S 7TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334940",
            "telephone_number": "580-255-8800",
            "fax_number": "580-255-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S 7TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334940",
            "telephone_number": "580-255-8800",
            "fax_number": "580-255-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICES FOR STEPHENS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-255-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.C.J.A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, 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.