Active NPI
Stephanie J O'Neal, LPC
- Professional Counselor
- Broken Arrow, OK
National Provider Identifier
1831430545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6099
- Practice address
- 2512 W Honolulu St
Broken Arrow, OK 74012-7469 - Phone
- (405) 416-3631
- NPI assigned
- Mar 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012026528 | MO | |
| Professional Counselor | 101YP2500X | 6099 | OK | Primary |
Addresses
Primary practice location
2512 W Honolulu St
Broken Arrow, OK 74012-7469
Mailing address
2512 W Honolulu St
Broken Arrow, OK 74012-7469
Phone (405) 416-3631
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 |
|---|---|---|---|
| 2012026528 | MO | MD | Professional Counselor |
| 6099 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1831430545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 W HONOLULU ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127469",
"telephone_number": "405-416-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 W HONOLULU ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127469",
"telephone_number": "405-416-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "STEPHANIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-05",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2012026528",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.