Organization Active NPI

Evanescence Counseling PLLC

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1861738148
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4643 Issued in OK
Legal business name
EVANESCENCE COUNSELING PLLC
Practice address
5909 NW Expressway
Suite 238
Oklahoma City, OK 73132-5161
Phone
(405) 420-7877
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Charity Beth Danker, LPCNPI 1750602876
Title
Owner/Therpist
Phone
(405) 420-7877

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 4643 OK Primary

Addresses

Primary practice location

5909 NW Expressway
Suite 238
Oklahoma City, OK 73132-5161

Mailing address

5909 NW Expressway
Suite 238
Oklahoma City, OK 73132-5161
Phone (405) 420-7877

Other identifiers 1

IdentifierTypeStateIssuer
200372680BMedicaidOK

National Provider Directory

National Provider Directory

Locations

5909 NW Expressway
Ste 238
Oklahoma City, OK 73132
Phone (405) 420-7877

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1861738148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 NW EXPRESSWAY",
            "address_2": "SUITE 238",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325161",
            "telephone_number": "405-420-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 NW EXPRESSWAY",
            "address_2": "SUITE 238",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325161",
            "telephone_number": "405-420-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANESCENCE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "DANKER",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/THERPIST",
        "authorized_official_telephone_number": "405-420-7877",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OK",
            "license": "4643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200372680B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.