Active NPI
Peggy Rackley
- Mental Health Counselor
- Edmond, OK
National Provider Identifier
1689753584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 654
- Practice address
- 3855 South Boulevard
Suite 100
Edmond, OK 73013 - Phone
- (405) 340-4321
- Fax
- (405) 340-9408
- NPI assigned
- Nov 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 654 | OK | Primary |
Addresses
Primary practice location
3855 South Boulevard
Suite 100
Edmond, OK 73013
Mailing address
3855 South Boulevard
Suite 100
Edmond, OH 73013
Phone (405) 340-4321
Other names 1
- Peggy Foster
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 |
|---|---|---|---|
| 654 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689753584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 SOUTH BOULEVARD",
"address_2": "SUITE 100",
"city": "EDMOND",
"state": "OH",
"postal_code": "73013",
"telephone_number": "405-340-4321",
"fax_number": "405-340-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 SOUTH BOULEVARD",
"address_2": "SUITE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-340-4321",
"fax_number": "405-340-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKLEY",
"first_name": "PEGGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "FOSTER",
"credential": "L.P.C.",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.