Active NPI
Deborah J Dow
- Mental Health Counselor
- Heavener, OK
National Provider Identifier
1801001144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R 0066137
- Practice address
- 511 E 2ND St
Heavener, OK 74937-3419 - Phone
- (918) 653-7450
- Fax
- (918) 653-7279
- NPI assigned
- May 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R 0066137 | OK | Primary |
Addresses
Primary practice location
511 E 2ND St
Heavener, OK 74937-3419
Mailing address
705 E Avenue a
Heavener, OK 74937-2215
Phone (918) 653-7718
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
| License | State | Type | Specialty |
|---|---|---|---|
| R 0066137 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801001144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E AVENUE A",
"city": "HEAVENER",
"state": "OK",
"postal_code": "749372215",
"telephone_number": "918-653-7718",
"fax_number": "918-653-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E 2ND ST",
"city": "HEAVENER",
"state": "OK",
"postal_code": "749373419",
"telephone_number": "918-653-7450",
"fax_number": "918-653-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOW",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "R 0066137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heavener, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.