Indigo Counseling and Emotional Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INDIGO COUNSELING AND EMOTIONAL WELLNESS, LLC

Practice address

10605 SW 23Rd Ter
Yukon, OK 73099-2678

Phone

(432) 266-0466

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Correna Stewart-Walker, LPCNPI 1144729179

Title

Licensed Professional Counselor

Phone

(432) 266-0466

Specialties & licenses 2

Addresses

Practitioners 1

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

• Correna Stewart-Walker

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1144729179
  NPD Authorized official

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1861113201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 SW 23RD TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992678",
            "telephone_number": "432-266-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 SW 23RD TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992678",
            "telephone_number": "432-266-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO COUNSELING AND EMOTIONAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "STEWART-WALKER",
        "authorized_official_first_name": "CORRENA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "432-266-0466",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Dewayne Hyde, MD
• Taylor Diane Iago, PA-C
• Lea Ann Iannucci
• Colby K Ikard, LMSW-P
• Mitchell Imhoff, PHARMD
• Caleb Ingalsbe
• Integris Canadian Valley Hospital
• Integris Prohealth Inc
• Integris Rural Health Inc
• Integris Rural Health Inc

• 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 Sep 5, 2022; 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.