Active NPI
Clarence Yarholar
- Addiction (Substance Use Disorder) Counselor
- McLoud, OK
National Provider Identifier
1790024594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 105365 S. Hwy 102 BLDG. H.
McLoud, OK 74851-1059 - Phone
- (405) 964-2618
- Fax
- (405) 964-5677
- NPI assigned
- Feb 14, 2013
- Last updated
- Feb 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
105365 S. Hwy 102 BLDG. H.
McLoud, OK 74851-1059
Mailing address
PO Box 1059
McLoud, OK 74851-1059
Phone (405) 964-2618
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kickapoo Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- McLoud, OK
- NPI 1407128572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1790024594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1059",
"city": "MCLOUD",
"state": "OK",
"postal_code": "748511059",
"telephone_number": "405-964-2618",
"fax_number": "405-964-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105365 S. HWY 102 BLDG. H.",
"city": "MCLOUD",
"state": "OK",
"postal_code": "748511059",
"telephone_number": "405-964-2618",
"fax_number": "405-964-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARHOLAR",
"first_name": "CLARENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-14",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLoud, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.