Organization Active NPI

Journey Counseling Center, PLLC

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1598260747
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1583 Issued in OK
Legal business name
JOURNEY COUNSELING CENTER, PLLC
Practice address
2801 E Memorial Rd
Edmond, OK 73013-6474
Phone
(405) 642-6811
Fax
(405) 425-5251
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Sheldon Dean Adkins, M.ED.NPI 1487695763
Title
Owner
Phone
(405) 642-6811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1583 OK Primary

Addresses

Primary practice location

2801 E Memorial Rd
Edmond, OK 73013-6474

Mailing address

14013 Smithurst Rd
Edmond, OK 73013-7249
Phone (405) 642-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114001822 OK Part B Supplier - Clinic/Group Practice 5294180253 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

2801 E Memorial Rd
Edmond, OK 73013
Phone (405) 326-3923

2801 E Memorial Rd
Ste 104
Edmond, OK 73013
Phone (405) 642-6811

1300 E 15th St
Ste 130
Edmond, OK 73013
Phone (405) 550-5467

Practitioners & affiliated clinicians

Practitioners 2

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1598260747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14013 SMITHURST RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137249",
            "telephone_number": "405-642-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E MEMORIAL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136474",
            "telephone_number": "405-642-6811",
            "fax_number": "405-425-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-642-6811",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1583",
            "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 Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.