Ardmore Counseling Associates, Inc.

Key facts

NPI

1578613626

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

License

840 (OK)

Legal business name

ARDMORE COUNSELING ASSOCIATES, INC.

Practice address

816 16TH Ave NW
Ardmore, OK 73401-1818

Phone

(580) 223-0292

Fax

(580) 223-8374

NPI assigned

Jan 11, 2007

Organization subpart

No

Authorized official

Name

Mr. Anthony Ernst, LPC

Title

President

Phone

(580) 223-0292

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578613626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1741",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021741",
            "telephone_number": "580-223-0292",
            "fax_number": "580-223-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 16TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011818",
            "telephone_number": "580-223-0292",
            "fax_number": "580-223-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-223-0292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Ardmore, OK · Mental Health Counselor in Oklahoma