E-School Virtual Charter Academy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

E-SCHOOL VIRTUAL CHARTER ACADEMY

Practice address

2403 S Division St Ste B
Guthrie, OK 73044-6031

Phone

(833) 203-4300

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Shepard

Title

Director of Federal Programs

Phone

(833) 203-4300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1750167052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S DIVISION ST STE B",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S DIVISION ST STE B",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446031",
            "telephone_number": "833-203-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-SCHOOL VIRTUAL CHARTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR OF FEDERAL PROGRAMS",
        "authorized_official_telephone_number": "833-203-4300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.