Lillian Kay Johndrow, LPC, LBP, LADC
Individual provider Active NPI Professional Counselor · Nowata, OK
NPI 1508037581 · NPPES record last updated Mar 18, 2008
Key facts
- NPI
- 1508037581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1939 (OK)
- Practice address
- 1020 Lenape Drive
Nowata, OK 75048 - Phone
- (918) 273-7504
- Fax
- (918) 273-3451
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 554 | OK | MD | Psychologist |
| 14 | OK | MD | Anesthesiologist Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 554 | OK | |
| Mental Health Counselor | 101YM0800X | 14 | OK | |
| Professional Counselor | 101YP2500X | 1939 | OK | Yes |
Addresses
Primary practice location
1020 Lenape Drive
Nowata, OK 75048
Mailing address
1020 Lenape Drive
Nowata, OK 75048
Phone (918) 273-7504
Other providers in Nowata, OK
- Robert Jackson
- Jane Phillips Nowata Health Center
- Jane Phillips Nowata Health Center
- Jane Phillips Nowata Hospital Inc
- Jeffrey L Gibson DO PC
- Colton Ray Johnson
- Dakota Shaye Jones
- Debra Keith
- Damita Kennard
- Bailey Kerns
All providers in Nowata, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.