NPIMap

Organization Active NPI

Coraspire Mental Health and Wellness Center, Inc.

  • Community/Behavioral Health Agency
  • Edmond, OK
National Provider Identifier
1588041560
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CORASPIRE MENTAL HEALTH AND WELLNESS CENTER, INC.
Practice address
307 E Danforth Rd
Suite 124
Edmond, OK 73034-4483
Phone
(405) 726-8966
Fax
(405) 726-8967
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Ms. Audra Blair
Title
Co-Owner
Phone
(405) 830-5732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

307 E Danforth Rd
Suite 124
Edmond, OK 73034-4483

Mailing address

307 E Danforth Rd
Suite 124
Edmond, OK 73034-4483
Phone (405) 726-8966

National Provider Directory

National Provider Directory

Locations

307 E Danforth Rd
Ste 124
Edmond, OK 73034
Phone (405) 308-0762

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1588041560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E DANFORTH RD",
            "address_2": "SUITE 124",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344483",
            "telephone_number": "405-726-8966",
            "fax_number": "405-726-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E DANFORTH RD",
            "address_2": "SUITE 124",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344483",
            "telephone_number": "405-726-8966",
            "fax_number": "405-726-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORASPIRE MENTAL HEALTH AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-830-5732",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.