Organization Active NPI

The Anchor Therapy Program Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Konawa, OK
National Provider Identifier
1730205832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE ANCHOR THERAPY PROGRAM INC
Practice address
RR 2 Box 79
Konawa, OK 74849-9713
Phone
(580) 925-2127
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edgar Jerome Snider, MS LPC
Title
Program Director
Phone
(580) 925-2127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

RR 2 Box 79
Konawa, OK 74849-9713

Mailing address

RR 2 Box 79
Konawa, OK 74849-9713
Phone (580) 925-2127

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730205832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 79",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748499713",
            "telephone_number": "580-925-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 79",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748499713",
            "telephone_number": "580-925-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANCHOR THERAPY PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "580-925-2127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Konawa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.