Active NPI
Maribel Rasco, LPC
- Professional Counselor
- Edmond, OK
National Provider Identifier
1669209540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12178
- Practice address
- 820 W Danforth Rd
Edmond, OK 73003-5006 - Phone
- (405) 287-2257
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84164 | TX | |
| Professional Counselor | 101YP2500X | 12178 | OK | Primary |
Addresses
Primary practice location
820 W Danforth Rd
Edmond, OK 73003-5006
Mailing address
820 W. Danforth Rd.
PO Box 123
Edmond, OK 73003
Phone (405) 287-2257
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 |
|---|---|---|---|
| 12178 | OK | MD | Professional Counselor |
| 84164 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1669209540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W. DANFORTH RD.",
"address_2": "PO BOX 123",
"city": "EDMOND",
"state": "OK",
"postal_code": "73003",
"telephone_number": "405-287-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W DANFORTH RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035006",
"telephone_number": "405-287-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCO",
"first_name": "MARIBEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84164",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "12178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.