Individual provider Active NPI

Ashley Nichole Viss, SCHOOL PSYCOLOGIST

  • School Counselor
  • Atoka, OK
National Provider Identifier
1649872573
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
0722134 Issued in OK
Practice address
1680 S Greathouse Drive
Atoka, OK 74525-7452
Phone
(580) 297-6965
Fax
(580) 324-4181
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 0722134 OK Primary

Addresses

Primary practice location

1680 S Greathouse Drive
Atoka, OK 74525-7452

Mailing address

1775 S Greathouse Dr
Atoka, OK 74525-3434
Phone (580) 297-6965

Other identifiers 1

IdentifierTypeStateIssuer
100683770AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address litajones@atoka.org Direct
Direct Messaging Address atokapublicschool@atoka.org Direct

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

LicenseStateTypeSpecialty
0722134OKMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1649872573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 S GREATHOUSE DR",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253434",
            "telephone_number": "580-297-6965",
            "fax_number": "580-324-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S GREATHOUSE DRIVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745257452",
            "telephone_number": "580-297-6965",
            "fax_number": "580-324-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISS",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "SCHOOL PSYCOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OK",
            "license": "0722134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100683770A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "litajones@atoka.org",
            "affiliation": "N",
            "endpointDescription": "Atoka Schools",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atoka",
            "address_1": "1680 S Greathouse Drive",
            "city": "Atoka",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745257452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atokapublicschool@atoka.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atoka",
            "address_1": "1680 S Greathouse Drive",
            "city": "Atoka",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745257452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.