Active NPI
Michael E Macgowan, PASTORAL COUNSELOR
- Pastoral Counselor
- Sapulpa, OK
National Provider Identifier
1639884752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 16841
- Practice address
- 501 S Park St
Sapulpa, OK 74066-5231 - Phone
- (918) 934-4860
- NPI assigned
- Jan 23, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 16841 | FL | Primary |
Addresses
Primary practice location
501 S Park St
Sapulpa, OK 74066-5231
Mailing address
421 W D St
Jenks, OK 74037-2917
Phone (910) 934-4860
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16841 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1639884752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W D ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740372917",
"telephone_number": "910-934-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S PARK ST",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740665231",
"telephone_number": "918-934-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGOWAN",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PASTORAL COUNSELOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "16841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.