Organization Active NPI

Stages2Change, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bartlesville, OK
National Provider Identifier
1780965095
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
731 Issued in OK
Legal business name
STAGES2CHANGE, LLC
Practice address
1924 Limestone Rd
Bartlesville, OK 74006-6714
Phone
(918) 333-3197
Fax
(918) 333-3197
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mrs. Susan Fay Buck, LADCNPI 1164616777
Title
Owner/Counselor
Phone
(918) 333-3197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 731 OK Primary

Addresses

Primary practice location

1924 Limestone Rd
Bartlesville, OK 74006-6714

Mailing address

1924 Limestone Rd
Bartlesville, OK 74006-6714
Phone (918) 333-3197

Other names 1

  • Susan F. Buck Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1780965095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 LIMESTONE RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740066714",
            "telephone_number": "918-333-3197",
            "fax_number": "918-333-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 LIMESTONE RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740066714",
            "telephone_number": "918-333-3197",
            "fax_number": "918-333-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGES2CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "918-333-3197",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan F. Buck",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.