Puzzle Peace Counseling, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4276 Issued in OK

Legal business name

PUZZLE PEACE COUNSELING, INC

Practice address

1603 E 19TH St Ste 190
Edmond, OK 73013-6566

Phone

(405) 568-1950

NPI assigned

Jul 7, 2017

Last updated

Jul 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Grossenbacher, LCSWNPI 1013157510

Title

Owner

Phone

(405) 568-1950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Grossenbacher, LCSW

  • Clinical Social Worker
  • Edmond, OK
  • NPI 1013157510
  NPD Authorized official

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1851813257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 NW 145TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731427854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E 19TH ST STE 190",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136566",
            "telephone_number": "405-568-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUZZLE PEACE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "GROSSENBACHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-568-1950",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200362310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetrius Pugh
• Sydney Purintun
• Lyndi Marie Purkey, LPC, M.A.
• Amber Dawn Purvine, PA-C
• Caitlyn Puryear
• Qaisar J Qayyum MD, PC
• Qaisar Qayyum, M.D.
• Qclinic LLC
• Guizhen Qi
• Quail Springs Counseling PLLC

• Clinical Social Worker in Edmond, OK
• Providers in Edmond, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.