Individual provider Active NPI

Nicole A Watson, MHR, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1780739458
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2434 Issued in OK
Practice address
4001 N Classen Blvd Ste 225
Oklahoma City, OK 73118-2670
Phone
(405) 231-3150
Fax
(405) 231-3157
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2434 OK Primary

Addresses

Primary practice location

4001 N Classen Blvd Ste 225
Oklahoma City, OK 73118-2670

Mailing address

4001 N Classen Blvd Ste 225
Oklahoma City, OK 73118-2670
Phone (405) 231-3150

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

State licenses

LicenseStateTypeSpecialty
2434OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Sargent Counseling Professional Current Accepting new patients
Cornerstone Counseling & Consulting, Inc. Professional CurrentSince Feb 16, 2020 Accepting new patients

Locations

4001 N Classen Blvd
Ste 225
Oklahoma City, OK 73118
Phone (405) 213-3150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1780739458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N CLASSEN BLVD STE 225",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182670",
            "telephone_number": "405-231-3150",
            "fax_number": "405-231-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N CLASSEN BLVD STE 225",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182670",
            "telephone_number": "405-231-3150",
            "fax_number": "405-231-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MHR, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.