Sycamore Tree Counseling PLLC Samantha Bugos Sole Member

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SYCAMORE TREE COUNSELING PLLC SAMANTHA BUGOS SOLE MEMBER

Practice address

207 S Czech Hall Rd
Yukon, OK 73099-6851

Phone

(405) 673-1270

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Samantha Bugos, LPCNPI 1033522651

Title

Owner

Phone

(405) 535-5224

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samantha Bugos, LPC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1033522651
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1831851203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S CZECH HALL RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996851",
            "telephone_number": "405-673-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S CZECH HALL RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996851",
            "telephone_number": "405-673-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE TREE COUNSELING PLLC SAMANTHA BUGOS SOLE MEMBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BUGOS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-535-5224",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Yukon, OK
• Providers in Yukon, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.