Active NPI
Laura L Owen, LPC
- Professional Counselor
- Tahlequah, OK
National Provider Identifier
1669613675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4116
- Practice address
- 1140 Mulberry Dr
Tahlequah, OK 74464 - Phone
- (918) 453-1108
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1869 | GA | |
| Professional Counselor | 101YP2500X | 4116 | OK | Primary |
Addresses
Primary practice location
1140 Mulberry Dr
Tahlequah, OK 74464
Mailing address
1245 Camelot Dr Apt B
Tahlequah, OK 74464-4746
Phone (918) 316-1381
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 |
|---|---|---|---|
| 4116 | OK | MD | Dentist |
| 1869 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1669613675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 CAMELOT DR APT B",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644746",
"telephone_number": "918-316-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 MULBERRY DR",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "74464",
"telephone_number": "918-453-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "LAURA",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "1869",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.