Organization Active NPI

Sui Generis Counseling and Life Care Services, PLLC

  • Mental Health Counselor
  • Broken Arrow, OK
National Provider Identifier
1770065930
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6040 Issued in OK
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

Updated by the provider on Dec 3, 2018

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 6040 OK Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.