NPIMap

Organization Active NPI

Seasons of Change Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Edmond, OK
National Provider Identifier
1821405770
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5267 Issued in OK
Legal business name
SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC.
Practice address
409 S Fretz Ave
Suite C
Edmond, OK 73003-5570
Phone
(405) 726-9808
Fax
(405) 726-9809
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Lorien Olivia Holman, LPCNPI 1023311495
Title
Ceo
Phone
(405) 726-9808

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
Community/Behavioral Health Agency 251S00000X 5267 OK Primary

Addresses

Primary practice location

409 S Fretz Ave
Suite C
Edmond, OK 73003-5570

Mailing address

409 S Fretz Ave
Suite C
Edmond, OK 73003-5570
Phone (405) 726-9808

Other identifiers 1

IdentifierTypeStateIssuer
200639980AMedicaidOK

National Provider Directory

National Provider Directory

Locations

425 S Fretz Ave
Ste C
Edmond, OK 73003
Phone (405) 726-9808

409 S Fretz Ave
Ste C
Edmond, OK 73003
Phone (405) 519-1096

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1821405770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S FRETZ AVE",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035570",
            "telephone_number": "405-726-9808",
            "fax_number": "405-726-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S FRETZ AVE",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035570",
            "telephone_number": "405-726-9808",
            "fax_number": "405-726-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "LORIEN",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-726-9808",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200639980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.