Organization Active NPI

Roush Counseling and Consulting, LLC

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1871832519
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4179 Issued in OK
Legal business name
ROUSH COUNSELING AND CONSULTING, LLC
Practice address
123 E Tonhawa St
Suite 100
Norman, OK 73069-7209
Phone
(405) 306-1163
Fax
(405) 794-7506
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Kimbra L Roush, MED, LPC
Title
Owner
Phone
(405) 306-1163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4179 OK Primary

Addresses

Primary practice location

123 E Tonhawa St
Suite 100
Norman, OK 73069-7209

Mailing address

123 E Tonhawa St
Suite 100
Norman, OK 73069-7209
Phone (405) 306-1163

Other identifiers 1

IdentifierTypeStateIssuer
200343690AMedicaidOK

National Provider Directory

National Provider Directory

Locations

123 E Tonhawa St
Ste 100
Norman, OK 73069
Phone (405) 306-1163

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1871832519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E TONHAWA ST",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697209",
            "telephone_number": "405-306-1163",
            "fax_number": "405-794-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E TONHAWA ST",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697209",
            "telephone_number": "405-306-1163",
            "fax_number": "405-794-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSH COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "KIMBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-306-1163",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200343690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.