This Is the Way Counseling, LLC

Key facts

NPI

1750105755

Entity type

Organization (NPI type 2)

Primary specialty

Counselor 101Y00000X

Legal business name

THIS IS THE WAY COUNSELING, LLC

Practice address

2224 Apache St
Choctaw, OK 73020-3005

Phone

(708) 882-7484

NPI assigned

Nov 14, 2024

Organization subpart

No

Authorized official

Name

Edna Lea Campbell, LPC-S NPI 1104246867

Title

Owner

Phone

(870) 882-7484

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Edna Lea Campbell, LPC-S Professional Counselor · Choctaw, OK · NPI 1104246867
  Medicare reassignment NPD Authorized official OK

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OK

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 14, 2024.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1750105755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 APACHE ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730203005",
            "telephone_number": "708-882-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 APACHE ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730203005",
            "telephone_number": "708-882-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS IS THE WAY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-882-7484",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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