Active NPI
Mary Melton LLC
- Professional Counselor
- Stillwater, OK
National Provider Identifier
1861706822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1832
- Legal business name
- MARY MELTON LLC
- Practice address
- 1601 S Main St
Stillwater, OK 74074-7933 - Phone
- (405) 612-5480
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary A Melton, LPC
- Title
- Licensed Counselor
- Phone
- (405) 612-5480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1832 | OK | Primary |
Addresses
Primary practice location
1601 S Main St
Stillwater, OK 74074-7933
Mailing address
1601 S Main St
Stillwater, OK 74074-7933
Phone (405) 612-5480
National Provider Directory
National Provider DirectoryLocations
1601 S Main St
Stillwater, OK 74074
Phone (405) 372-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Stillwater, OK
- NPI 1083939052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1861706822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S MAIN ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740747933",
"telephone_number": "405-612-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S MAIN ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740747933",
"telephone_number": "405-612-5480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY MELTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LICENSED COUNSELOR",
"authorized_official_telephone_number": "405-612-5480",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.