Edna Massey
Individual provider Active NPI Professional Counselor · Oklahoma City, OK
NPI 1760760417 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1760760417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5591 (OK)
- Practice address
- 9212 N Kelley Ave
Oklahoma City, OK 73131-2419 - Phone
- (405) 255-9203
- NPI assigned
- Jul 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5591 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Looking Up Counseling | Mental Health | Current | Accepting new patients |
| Looking Up Counseling | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 5591 | OK | Yes |
Addresses
Primary practice location
9212 N Kelley Ave
Oklahoma City, OK 73131-2419
Mailing address
5350 S Western Ave Ste 734
Oklahoma City, OK 73109-4535
Phone (405) 474-6446
Other providers in Oklahoma City, OK
- Lauren E Massad
- Phillip Michael Massad
- Breanah Massengale
- Tracy L Massengale
- Courtney Nicole Massey
- Justin Massey
- Wade Massey
- Jesse M. Massie
- Nicole Marie Massie
- Donna Mastalir
All providers in Oklahoma City, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.