Organization Active NPI

Christian Counseling, PLLC

Doing business as Gloria J. McCreary

  • Professional Counselor
  • Moore, OK
National Provider Identifier
1871622217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHRISTIAN COUNSELING, PLLC
Doing business as
Gloria J. McCreary
Practice address
412 N Telephone Rd
Moore, OK 73160-4920
Phone
(405) 794-5552
Fax
(405) 759-2402
NPI assigned
Mar 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gloria J McCreary, M EDNPI 1497797336
Title
Owner
Phone
(405) 794-5552

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

412 N Telephone Rd
Moore, OK 73160-4920

Mailing address

412 N Telephone Rd
Moore, OK 73160-4920
Phone (405) 794-5552

Other names 1

  • Gloria J. McCreary Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321001664 OK Part B Supplier - Clinic/Group Practice 7810035235 Receives reassigned benefits from 1 practitioner
Practice locations: Moore, OK

National Provider Directory

National Provider Directory

Locations

412 N Telephone Rd
Moore, OK 73160
Phone (405) 794-5552

Practitioners & affiliated clinicians

Practitioners 5

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871622217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604920",
            "telephone_number": "405-794-5552",
            "fax_number": "405-759-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604920",
            "telephone_number": "405-794-5552",
            "fax_number": "405-759-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-794-5552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M ED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria J. McCreary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.