Active NPI
Edna M Nelson, MS, LPC, LMFT
- Professional Counselor
- Yukon, OK
National Provider Identifier
1609054832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2949, 0879
- Practice address
- 9001 NW 92ND St
Yukon, OK 73099-8424 - Phone
- (405) 496-1767
- Fax
- (405) 609-1659
- NPI assigned
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2949, 0879 | OK | Primary |
Addresses
Primary practice location
9001 NW 92ND St
Yukon, OK 73099-8424
Mailing address
9001 NW 92ND St
Yukon, OK 73099-8424
Phone (405) 496-1767
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2949, 0879 | OK | MD | Professional Counselor |
| 2949 | OK | MD | Registered Dietitian |
| 879 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1609054832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 NW 92ND ST",
"city": "YUKON",
"state": "OK",
"postal_code": "730998424",
"telephone_number": "405-496-1767",
"fax_number": "405-609-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 NW 92ND ST",
"city": "YUKON",
"state": "OK",
"postal_code": "730998424",
"telephone_number": "405-496-1767",
"fax_number": "405-609-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EDNA",
"middle_name": "M",
"credential": "MS, LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2949, 0879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.