Active NPI
Philisha J Austin, M.ED., CADC
- Substance Abuse Rehabilitation Facility
- Talihina, OK
National Provider Identifier
1770975385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 322
- Practice address
- 13597 SE 202ND Rd
Talihina, OK 74571-6003 - Phone
- (918) 567-2905
- Fax
- (918) 567-2995
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 322 | OK | Primary |
Addresses
Primary practice location
13597 SE 202ND Rd
Talihina, OK 74571-6003
Mailing address
PO Box 185
Clayton, OK 74536-0185
Phone (918) 567-2905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1770975385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 185",
"city": "CLAYTON",
"state": "OK",
"postal_code": "745360185",
"telephone_number": "918-567-2905",
"fax_number": "918-567-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13597 SE 202ND RD",
"city": "TALIHINA",
"state": "OK",
"postal_code": "745716003",
"telephone_number": "918-567-2905",
"fax_number": "918-567-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "PHILISHA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "M.ED., CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OK",
"license": "322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Talihina, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.