NPIMap

Organization Active NPI

Johnna M. Dickenson-Ortega LLC

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1679850424
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3500 Issued in OK
Legal business name
JOHNNA M. DICKENSON-ORTEGA LLC
Practice address
3704 Walking Sky Rd
Edmond, OK 73013-6842
Phone
(405) 788-7283
Fax
(405) 513-5032
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Johnna M Ortega, LPC
Title
Owner
Phone
(405) 788-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3500 OK Primary

Addresses

Primary practice location

3704 Walking Sky Rd
Edmond, OK 73013-6842

Mailing address

3704 Walking Sky Rd
Edmond, OK 73013-6842
Phone (405) 788-7283

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1679850424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 WALKING SKY RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136842",
            "telephone_number": "405-788-7283",
            "fax_number": "405-513-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 WALKING SKY RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136842",
            "telephone_number": "405-788-7283",
            "fax_number": "405-513-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNA M. DICKENSON-ORTEGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-788-7283",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3500",
            "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 Nov 8, 2011; 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.