Active NPI
Morningstar Mental Health Service
- Mental Health Counselor
- Wewoka, OK
National Provider Identifier
1659611572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3901
- Legal business name
- MORNINGSTAR MENTAL HEALTH SERVICE
- Practice address
- 1501 S Seminole Ave
Wewoka, OK 74884-3920 - Phone
- (803) 920-4902
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis J McKane
- Title
- Administrative Asst.
- Phone
- (918) 650-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3901 | OK | Primary |
Addresses
Primary practice location
1501 S Seminole Ave
Wewoka, OK 74884-3920
Mailing address
1501 S Seminole Ave
Wewoka, OK 74884-3920
Phone (803) 920-4902
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362096000000",
"number": "1659611572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S SEMINOLE AVE",
"city": "WEWOKA",
"state": "OK",
"postal_code": "748843920",
"telephone_number": "803-920-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S SEMINOLE AVE",
"city": "WEWOKA",
"state": "OK",
"postal_code": "748843920",
"telephone_number": "803-920-4902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNINGSTAR MENTAL HEALTH SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-01",
"last_updated": "2013-03-01",
"status": "A",
"authorized_official_last_name": "MCKANE",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATIVE ASST.",
"authorized_official_telephone_number": "918-650-9500"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "3901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wewoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.