Organization Active NPI

Keystone Counseling and Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1720485220
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KEYSTONE COUNSELING AND THERAPEUTIC SERVICES LLC
Practice address
6202 S Lewis Ave Ste A1
Tulsa, OK 74136-1099
Phone
(918) 261-1129
NPI assigned
Nov 26, 2014
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Ms. Annette Evonne Shaeffer, MS, LPCNPI 1316278112
Title
Executive Director
Phone
(918) 261-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OK Primary

Addresses

Primary practice location

6202 S Lewis Ave Ste A1
Tulsa, OK 74136-1099

Mailing address

6202 S Lewis Ave Ste A1
Tulsa, OK 74136-1099
Phone (918) 261-1129

National Provider Directory

National Provider Directory

Locations

6202 S Lewis Ave
Ste A1
Tulsa, OK 74136
Phone (918) 261-1129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1720485220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 S LEWIS AVE STE A1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361099",
            "telephone_number": "918-261-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 S LEWIS AVE STE A1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361099",
            "telephone_number": "918-261-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COUNSELING AND THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "EVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-261-1129",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.