T.W. Bosley LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4759 Issued in OK

Legal business name

T.W. BOSLEY LLC

Practice address

115 S Peters Ave
Suite 11
Norman, OK 73069-6065

Phone

(405) 535-1048

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Trebor Wellington Bosley, M.H.R., L.P.C.

Title

Owner/ Therapist

Phone

(405) 535-1048

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1619319738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 APPLE BLOSSOM CIR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601007",
            "telephone_number": "405-535-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S PETERS AVE",
            "address_2": "SUITE 11",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696065",
            "telephone_number": "405-535-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.W. BOSLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "TREBOR",
        "authorized_official_middle_name": "WELLINGTON",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "405-535-1048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.H.R., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PROVIDER NPI NUMBER",
            "identifier": "1003138710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Norman, OK
• Providers in Norman, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.