Countryside Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COUNTRYSIDE COUNSELING, PLLC

Doing business as

Countryside Counseling

Practice address

44038 45TH St
Shawnee, OK 74804-9683

Phone

(405) 481-6683

NPI assigned

Sep 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy M Bowen, LPCNPI 1811359169

Title

Owner

Phone

(405) 694-1462

Specialties & licenses 1

Addresses

Other names 1

• Countryside Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Bowen

  • Professional Counselor
  • McLoud, OK
  • NPI 1811359169
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1780235010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32221 REDSKIN RD",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518174",
            "telephone_number": "405-694-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44038 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049683",
            "telephone_number": "405-481-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-694-1462",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronna Cordis
• Stacey Ann Corneil, RN
• Cornerstone Dental PLLC
• Deborah M Cotton
• Emily Coumanis
• Glen Courtney
• David Thomas Courtright
• Cody Cox
• Connie Cox, D.PH.
• Amanda Cozart, LPN

• Professional Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.