Organization Active NPI

Transcendence, LLC

  • Professional Counselor
  • Vinita, OK
National Provider Identifier
1659662161
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4354 Issued in OK
Legal business name
TRANSCENDENCE, LLC
Practice address
135 E Canadian Ave
Vinita, OK 74301-3713
Phone
(918) 915-0084
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Sherry L Miller, M.S., LPC, LADC
Title
Owner/Ceo
Phone
(918) 915-0084

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 649 OK
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 4354 OK Primary
Case Management Agency 251B00000X 12186 OK
Community/Behavioral Health Agency 251S00000X 4773 OK

Addresses

Primary practice location

135 E Canadian Ave
Vinita, OK 74301-3713

Mailing address

28686 S 4340 Rd
Vinita, OK 74301-7708
Phone (918) 915-0084

Other identifiers 1

IdentifierTypeStateIssuer
200332290AMedicaidOK

National Provider Directory

National Provider Directory

Locations

135 E Canadian Ave
Vinita, OK 74301
Phone (901) 453-5648

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1659662161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28686 S 4340 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017708",
            "telephone_number": "918-915-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E CANADIAN AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743013713",
            "telephone_number": "918-915-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "918-915-0084",
        "authorized_official_credential": "M.S., LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "649",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4354",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "12186",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.