Individual provider Active NPI

Rosa Marie Schultz, CBHCM, LPC

  • Professional Counselor
  • McAlester, OK
National Provider Identifier
1619004462
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3879 Issued in OK
Practice address
400 E Wyandotte Ave
McAlester, OK 74501-5464
Phone
(918) 420-5238
Fax
(918) 420-5717
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3879 OK Primary

Addresses

Primary practice location

400 E Wyandotte Ave
McAlester, OK 74501-5464

Mailing address

901 NW G St
Stigler, OK 74462-1757
Phone (918) 967-9221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110004096 OK Practitioner - Mental Health Counselor 8729176219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stigler Health and Wellness Center IncGroup PAC ID 8022061373, 46 clinicians

Practice addresses (Care Compare)

1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741

2013 E Meadow LN
Stigler, OK 74462-2708

PO Box
Suite 179
Stigler, OK 74462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stigler Health and Wellness Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Professional Counseling and Consulting Services, P.C. Past Accepting new patients

Locations

1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1619004462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW G ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621757",
            "telephone_number": "918-967-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015464",
            "telephone_number": "918-420-5238",
            "fax_number": "918-420-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ROSA",
        "middle_name": "MARIE",
        "credential": "CBHCM, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.