Organization Active NPI

Stevie Wilson, P.C.

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1861733800
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4859 Issued in OK
Legal business name
STEVIE WILSON, P.C.
Practice address
1601 Medical Center Dr
Suite 6
Edmond, OK 73034-6359
Phone
(405) 420-1658
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Stevie Wilson
Title
Director
Phone
(405) 420-1658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4859 OK Primary

Addresses

Primary practice location

1601 Medical Center Dr
Suite 6
Edmond, OK 73034-6359

Mailing address

9501 S I 35 Service Rd
907
Moore, OK 73160-3140
Phone (405) 420-1658

National Provider Directory

National Provider Directory

Locations

1601 Medical Center Dr
Ste 6
Edmond, OK 73034
Phone (405) 340-8260

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1861733800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 S I 35 SERVICE RD",
            "address_2": "907",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603140",
            "telephone_number": "405-420-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL CENTER DR",
            "address_2": "SUITE 6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346359",
            "telephone_number": "405-420-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVIE WILSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-420-1658"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.