Willard Steven Carter

Individual provider Active NPI Mental Health Counselor · Hugo, OK

NPI 1750762191 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1750762191
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
100 N 5TH St
Hugo, OK 74743-4005
Phone
(580) 326-9475
Fax
(580) 326-9028
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Four Seasons Counseling Services, Inc. Past
since Mar 13, 2016
Accepting new patients
Red River Counseling Center, LLC Past
since May 1, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

100 N 5TH St
Hugo, OK 74743-4005

Mailing address

100 N 5TH St
Hugo, OK 74743-4005
Phone (580) 326-9475

Other providers in Hugo, OK

All providers in Hugo, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.