NPIMap

Organization Active NPI

Family Shelter of Southern Oklahoma

  • Counselor
  • Ardmore, OK
National Provider Identifier
1891023115
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FAMILY SHELTER OF SOUTHERN OKLAHOMA
Practice address
117 B St SW
Ardmore, OK 73401-6401
Phone
(580) 226-6424
Fax
(580) 226-6470
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mrs. Kimberly Dawn Powell, B.A.
Title
Shelter Manager
Phone
(580) 226-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

117 B St SW
Ardmore, OK 73401-6401

Mailing address

PO Box 1408
Ardmore, OK 73402-1408
Phone (580) 226-6424

National Provider Directory

National Provider Directory
Tax ID family
Family Shelter of Southern Oklahoma for Victims of Domestic Violence3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1891023115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021408",
            "telephone_number": "580-226-6424",
            "fax_number": "580-226-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 B ST SW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016401",
            "telephone_number": "580-226-6424",
            "fax_number": "580-226-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SHELTER OF SOUTHERN OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "SHELTER MANAGER",
        "authorized_official_telephone_number": "580-226-6424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.