Active NPI
Rebecca Ann Stark
- Counselor
- Ada, OK
National Provider Identifier
1740506377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 124 S Broadway Ave
Ste 408
Ada, OK 74820-5807 - Phone
- (580) 332-8773
- Fax
- (580) 332-8774
- NPI assigned
- Apr 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
124 S Broadway Ave
Ste 408
Ada, OK 74820-5807
Mailing address
PO Box 230
214 E Oak
Seminole, OK 74818-0230
Phone (405) 382-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1740506377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230",
"address_2": "214 E OAK",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748180230",
"telephone_number": "405-382-1112",
"fax_number": "405-382-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S BROADWAY AVE",
"address_2": "STE 408",
"city": "ADA",
"state": "OK",
"postal_code": "748205807",
"telephone_number": "580-332-8773",
"fax_number": "580-332-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "REBECCA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.