Sophia Olaitan Oyetunbi, ASAP COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1078 Issued in OK

Practice address

4301 Wilson Street
Fort Sill, OK 73503-9042

Phone

(580) 558-2134

Fax

(580) 558-2314

NPI assigned

Feb 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1740586155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST.",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735039042",
            "telephone_number": "580-558-2134",
            "fax_number": "580-558-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WILSON STREET",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735039042",
            "telephone_number": "580-558-2134",
            "fax_number": "580-558-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYETUNBI",
        "first_name": "SOPHIA",
        "middle_name": "OLAITAN",
        "name_prefix": "Mr.",
        "credential": "ASAP COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremie Olliso, PA-C
• Krista Marie Osborne Machal, DPT
• Alan Fernando Osborne
• Cynthia Marie Osuna, M.A.
• Stephen William Owen, D.D.S.
• Eugene Paek, DMD
• Craig Vincent Paige, P.A.-C.
• Shalom D Palacio-Hollmon, PSY.D.
• Alan Palmer, DDS
• Barbara Jean Palombi, 103T00000X

• Addiction (Substance Use Disorder) Counselor in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.