Active NPI
Johnny Ray Sanders III, M.ED
- Counselor
- Norman, OK
National Provider Identifier
1831513563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2900 Chautauqua Ave
Apt 120
Norman, OK 73072-7723 - Phone
- (580) 467-2556
- NPI assigned
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2900 Chautauqua Ave
Apt 120
Norman, OK 73072-7723
Mailing address
2900 Chautauqua Ave
Apt 120
Norman, OK 73072-7723
Phone (580) 467-2556
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1831513563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CHAUTAUQUA AVE",
"address_2": "APT 120",
"city": "NORMAN",
"state": "OK",
"postal_code": "730727723",
"telephone_number": "580-467-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CHAUTAUQUA AVE",
"address_2": "APT 120",
"city": "NORMAN",
"state": "OK",
"postal_code": "730727723",
"telephone_number": "580-467-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JOHNNY",
"middle_name": "RAY",
"name_suffix": "III",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.