Organization Active NPI

Interaction Counseling

  • Mental Health Counselor
  • Lawton, OK
National Provider Identifier
1841475977
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
36 Issued in OK
Legal business name
INTERACTION COUNSELING
Practice address
4411 W Gore Blvd Ste B10
Lawton, OK 73505-5977
Phone
(580) 353-0909
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Jim Johnson, LCSW
Title
Social Worker
Phone
(580) 353-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 36 OK Primary

Addresses

Primary practice location

4411 W Gore Blvd Ste B10
Lawton, OK 73505-5977

Mailing address

4411 W Gore Blvd Ste B10
Lawton, OK 73505-5977
Phone (580) 353-0909

Other identifiers 1

IdentifierTypeStateIssuer
500522083OtherOKMEDICARE GROUP IDENTIFIER

National Provider Directory

National Provider Directory

Locations

4411 W Gore Blvd
Ste B8
Lawton, OK 73505
Phone (580) 353-0909

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1841475977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE B10",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-353-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE B10",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-353-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "580-353-0909",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "36",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP IDENTIFIER",
            "identifier": "500522083",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.