Organization Active NPI

The Laughing Shark, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Oklahoma City, OK
National Provider Identifier
1861928905
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1111 Issued in OK
Legal business name
THE LAUGHING SHARK, INC.
Doing business as
ADSAC OKC
Practice address
11212 N May Ave Ste 107
Oklahoma City, OK 73120
Phone
(405) 229-3237
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Authorized official

Name
Danielle J Williams, M.ED, LPC, LADC/MHNPI 1447535026
Title
Owner
Phone
(405) 519-7471

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1111 OK Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5258 OK

Addresses

Primary practice location

11212 N May Ave Ste 107
Oklahoma City, OK 73120

Mailing address

PO Box 20326
Oklahoma City, OK 73156-0326
Phone (405) 229-3237

Other practice location 1

6418 N Santa Fe Ave Ste A
Oklahoma City, OK 73116-9130
Phone (405) 519-7471

Other identifiers 1

IdentifierTypeStateIssuer
599OtherOKADSAC ASSESSMENTS

Other names 1

  • ADSAC OKC Doing business as

National Provider Directory

National Provider Directory

Locations

11212 N May Ave
Ste 107
Oklahoma City, OK 73120
Phone (405) 229-3237

6418 N Santa Fe Ave
Ste A
Oklahoma City, OK 73116
Phone (405) 519-7471

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596844800000",
    "number": "1861928905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20326",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560326",
            "telephone_number": "405-229-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 N MAY AVE STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-229-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6418 N Santa Fe Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731169130",
            "country_code": "US",
            "telephone_number": "405-519-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LAUGHING SHARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-519-7471",
        "authorized_official_credential": "M.ED, LPC, LADC/MH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1111",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADSAC ASSESSMENTS",
            "identifier": "599",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADSAC OKC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADSAC OKC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2020; 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.