Angelica L Bartholow, LPC CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCCANDIDTATE10276 Issued in OK

Practice address

1201 Arlington St Ste D
Ada, OK 74820-4072

Phone

(580) 235-0274

NPI assigned

Aug 27, 2021

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ada2@treatmentservices.org

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1548937394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON ST STE D",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-235-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON ST STE D",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-235-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOW",
        "first_name": "ANGELICA",
        "middle_name": "L",
        "credential": "LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPCCANDIDTATE10276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ada2@treatmentservices.org",
            "affiliation": "N",
            "address_1": "1201 Arlington St Ste D",
            "city": "Ada",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748204072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Ada, OK
• Providers in Ada, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.