Deardorf Family Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4786 Issued in OK

Legal business name

DEARDORF FAMILY SERVICES, INC.

Practice address

123 E Tonhawa St
Suite 100
Norman, OK 73069-7209

Phone

(405) 701-6012

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Emily Deardorf, MA, LPC

Title

President

Phone

(316) 655-8577

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1720522584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SHADOWLAKE RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716877",
            "telephone_number": "316-655-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E TONHAWA ST",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697209",
            "telephone_number": "405-701-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARDORF FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "DEARDORF",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-655-8577",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355600B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayspring Counseling, LLC
• John Robert De Cleene Jr.
• Josie Dean, PA
• Deann M. Gattis Psychological Services PLLC
• Deanna Winner, LCSW, P.C
• Emily Deardorf, LPC
• Joshua Debartolo, MHR
• Candy Lynn Debeer, COTA
• Stephanie Marie Deberry, MS, RD/LD
• Lauren Debose

• Professional Counselor in Norman, OK
• Providers in Norman, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.