Individual provider Active NPI

Julia Selby, MBS, LPC, LADC

  • Professional Counselor
  • Durant, OK
National Provider Identifier
1871827238
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2796 Issued in OK
Practice address
4216 Commercial LN
Durant, OK 74701-7785
Phone
(405) 360-2133
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 165 OK
Professional Counselor 101YP2500X 2796 OK Primary

Addresses

Primary practice location

4216 Commercial LN
Durant, OK 74701-7785

Mailing address

204 N Broadway St
Tishomingo, OK 73460-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000818 OK Practitioner - Mental Health Counselor 0345686895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nsight for Life LLCGroup PAC ID 7719339134, 6 clinicians

Practice addresses (Care Compare)

1313 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 634-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2796OKMDProfessional Counselor
165OKMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nsight for Life LLC CurrentSince Feb 23, 2024 Accepting new patients

Locations

1313 N 16th Ave
Durant, OK 74701
Phone (580) 634-2332

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1871827238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N BROADWAY ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 COMMERCIAL LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017785",
            "telephone_number": "405-360-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "JULIA",
        "credential": "MBS, LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.