NPIMap

Organization Active NPI

Southern Nazarene University

  • Mental Health Counselor
  • Bethany, OK
National Provider Identifier
1871069245
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOUTHERN NAZARENE UNIVERSITY
Practice address
6612 NW 42ND St
Bethany, OK 73008-2764
Phone
(405) 717-6200
NPI assigned
Oct 23, 2018
Organization subpart
Yes
Parent organization
SOUTHERN NAZARENE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Mrs. Holly N Sapp, LPC
Title
Executive Clinical Director
Phone
(405) 717-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6612 NW 42ND St
Bethany, OK 73008-2764

Mailing address

6612 NW 42ND St
Bethany, OK 73008-2764
Phone (405) 717-6200

Other names 1

  • RENEW Counseling Center @SNU Doing business as

National Provider Directory

National Provider Directory
Part of
Southern Nazarene University

Practitioners & affiliated clinicians

Practitioners 12

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": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1871069245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 NW 42ND ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082764",
            "telephone_number": "405-717-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 NW 42ND ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082764",
            "telephone_number": "405-717-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NAZARENE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN NAZARENE UNIVERSITY",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-717-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENEW Counseling Center @SNU",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RENEW Counseling Center @SNU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.