Active NPI
Thomas Alvin Greenfield, M.ED., LPC, LADC
- Professional Counselor
- Chickasha, OK
National Provider Identifier
1649556242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4617
- Practice address
- 2204 W Grand Ave
Chickasha, OK 73018-5240 - Phone
- (405) 222-8267
- Fax
- (405) 222-8267
- NPI assigned
- Oct 26, 2011
- Last updated
- Apr 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 925 | OK | |
| Professional Counselor | 101YP2500X | 4617 | OK | Primary |
Addresses
Primary practice location
2204 W Grand Ave
Chickasha, OK 73018-5240
Mailing address
2204 W Grand Ave
Chickasha, OK 73018-5240
Phone (405) 222-8267
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4617 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lighthouse Guidance Center LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Chickasha, OK
- NPI 1043593635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1649556242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 W GRAND AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730185240",
"telephone_number": "405-222-8267",
"fax_number": "405-222-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 W GRAND AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730185240",
"telephone_number": "405-222-8267",
"fax_number": "405-222-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "THOMAS",
"middle_name": "ALVIN",
"name_prefix": "Mr.",
"credential": "M.ED., LPC, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "925",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.