Organization Active NPI

Fresh Start Counseling Services Inc

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1790960672
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1912150892 Issued in OK
Legal business name
FRESH START COUNSELING SERVICES INC
Practice address
4801 Classen Boulevard
Suite 159
Oklahoma City, OK 73108
Phone
(405) 487-8134
Fax
(405) 601-8890
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mrs. Theresa Denise Bowler-Shopeyin, LPC CANDIDATE
Title
Chief Operating Officer
Phone
(405) 487-8134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1912150892 OK Primary

Addresses

Primary practice location

4801 Classen Boulevard
Suite 159
Oklahoma City, OK 73108

Mailing address

4801 N Classen Blvd
Suite 159
Oklahoma City, OK 73118-4627
Phone (405) 487-8134

National Provider Directory

National Provider Directory
Tax ID family
Fresh Start Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1790960672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD",
            "address_2": "SUITE 159",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184627",
            "telephone_number": "405-487-8134",
            "fax_number": "405-601-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 CLASSEN BOULEVARD",
            "address_2": "SUITE 159",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73108",
            "telephone_number": "405-487-8134",
            "fax_number": "405-601-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BOWLER-SHOPEYIN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "405-487-8134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC CANDIDATE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "1912150892",
            "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 Jan 9, 2008; 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.