Carla D Suitor, M.S. LPC LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2029 Issued in OK

Practice address

1021 E Highway 66
Elk City, OK 73644-1906

Phone

(580) 225-4337

Fax

(580) 225-4338

NPI assigned

Jun 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diversified Family Services Inc

  • Community/Behavioral Health Agency
  • Elk City, OK
  • NPI 1720152614
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1730316407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22678 ROUTE 66 N",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736017516",
            "telephone_number": "580-225-4337",
            "fax_number": "580-225-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E HIGHWAY 66",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736441906",
            "telephone_number": "580-225-4337",
            "fax_number": "580-225-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITOR",
        "first_name": "CARLA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.S. LPC LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "286",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shiloah Adam Stover, D.C.
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• Nathaniel W Talley, DDS
• Maci Tate
• Brittany A Taylor

• Professional Counselor in Elk City, OK
• Providers in Elk City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.