NPIMap

Organization Active NPI

Woodwater Counseling LLC

  • Counselor
  • Durant, OK
National Provider Identifier
1740607100
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WOODWATER COUNSELING LLC
Practice address
1705 N Washington Ave Ste a
Durant, OK 74701-2100
Phone
(580) 745-5707
Fax
(580) 745-5705
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Sheila A Timberlake, LPCNPI 1225351273
Title
Ceo/Owner
Phone
(580) 745-5707

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1705 N Washington Ave Ste a
Durant, OK 74701-2100

Mailing address

1705 N Washington Ave Ste a
Durant, OK 74701-2100
Phone (580) 745-5707

National Provider Directory

National Provider Directory

Locations

1705 N Washington Ave
Ste A
Durant, OK 74701
Phone (580) 745-5707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1740607100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N WASHINGTON AVE STE A",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012100",
            "telephone_number": "580-745-5707",
            "fax_number": "580-745-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N WASHINGTON AVE STE A",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012100",
            "telephone_number": "580-745-5707",
            "fax_number": "580-745-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWATER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "TIMBERLAKE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "580-745-5707",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.