Active NPI
Sui Generis Counseling and Life Care Services, PLLC
- Mental Health Counselor
- Broken Arrow, OK
National Provider Identifier
1770065930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6040
- Legal business name
- SUI GENERIS COUNSELING AND LIFE CARE SERVICES, PLLC
- Practice address
- 8304 S Kalanchoe Ave
Broken Arrow, OK 74011-7808 - Phone
- (918) 417-6087
- NPI assigned
- Sep 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darlene A Dennis, LCSW
- Title
- Business Owner/Couselor
- Phone
- (918) 402-1868
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6040 | OK | Primary |
| Clinical Social Worker | 1041C0700X | 6040 | OK | |
| Case Management Agency | 251B00000X | 6040 | OK |
Addresses
Primary practice location
8304 S Kalanchoe Ave
Broken Arrow, OK 74011-7808
Mailing address
832 W. Jasper Street
Suite B
Broken Arrow, OK 74011-8297
Phone (918) 402-1868
Other names 1
- Sui Generis Counseling and Life Care Services, PLLC
National Provider Directory
National Provider DirectoryLocations
1601 S Eucalyptus Ave
Ste 20
Broken Arrow, OK 74012
Phone (918) 402-1868
832 W Jasper St
Ste B
Broken Arrow, OK 74011
Phone (918) 402-1868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543795200000",
"number": "1770065930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 W. JASPER STREET",
"address_2": "SUITE B",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740118297",
"telephone_number": "918-402-1868",
"fax_number": "918-994-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8304 S KALANCHOE AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740117808",
"telephone_number": "918-417-6087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUI GENERIS COUNSELING AND LIFE CARE SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-05",
"last_updated": "2018-12-03",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BUSINESS OWNER/COUSELOR",
"authorized_official_telephone_number": "918-402-1868",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "6040",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "6040",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OK",
"license": "6040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sui Generis Counseling and Life Care Services, PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sui Generis Counseling and Life Care Services, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.