Active NPI
Stephen Thomas Ward, AA, RN, BHRS
- Counselor
- Poteau, OK
National Provider Identifier
1508137266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 34183 Country Club LN
Poteau, OK 74953-9122 - Phone
- (918) 647-6513
- Fax
- (918) 647-2926
- NPI assigned
- Jan 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | OK | Primary | |
| Registered Nurse | 163W00000X | R0104553 | OK |
Addresses
Primary practice location
34183 Country Club LN
Poteau, OK 74953-9122
Mailing address
34183 Country Club LN
Poteau, OK 74953-9122
Phone (918) 647-6513
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
- Credentials
- Associate of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0104553 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Vally Counseling | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Poteau, OK
- NPI 1114338118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1508137266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34183 COUNTRY CLUB LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749539122",
"telephone_number": "918-647-6513",
"fax_number": "918-647-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34183 COUNTRY CLUB LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749539122",
"telephone_number": "918-647-6513",
"fax_number": "918-647-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "STEPHEN",
"middle_name": "THOMAS",
"credential": "AA, RN, BHRS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0104553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.