NPIMap

Organization Active NPI

Impact Counseling Center LLC

  • Counselor
  • Noble, OK
National Provider Identifier
1730583402
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
955 Issued in OK
Legal business name
IMPACT COUNSELING CENTER LLC
Practice address
115 S Main St
Noble, OK 73068-9596
Phone
(405) 872-8461
Fax
(405) 872-8466
NPI assigned
Oct 9, 2014
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Mrs. Shalon Margaret Stokes, LMFTNPI 1619186210
Title
Chief Executive Director
Phone
(405) 306-0465

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 955 OK Primary
Mental Health Counselor 101YM0800X 955 OK
Professional Counselor 101YP2500X 955 OK
Marriage & Family Therapist 106H00000X 955 OK

Addresses

Primary practice location

115 S Main St
Noble, OK 73068-9596

Mailing address

PO Box 2206
Noble, OK 73068-2206
Phone (405) 872-8461

National Provider Directory

National Provider Directory

Locations

115 S Main St
Noble, OK 73068
Phone (405) 568-2003

Practitioners & affiliated clinicians

Practitioners 10

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": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1730583402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2206",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730682206",
            "telephone_number": "405-872-8461",
            "fax_number": "405-872-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689596",
            "telephone_number": "405-872-8461",
            "fax_number": "405-872-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "SHALON",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-306-0465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "955",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "955",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "955",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noble, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.