NPIMap

Organization Active NPI

A Counseling, Inc

  • Mental Health Counselor
  • Heavener, OK
National Provider Identifier
1891331187
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
A COUNSELING, INC
Practice address
123 E Avenue C Ste B
Heavener, OK 74937-2603
Phone
(918) 658-4016
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Connie Ray, MS, MED, LPC, LADCNPI 1154608164
Title
Director
Phone
(918) 658-4016

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

123 E Avenue C Ste B
Heavener, OK 74937-2603

Mailing address

123 E Avenue C Ste B
Heavener, OK 74937-2603
Phone (918) 658-4016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216003109 OK Part B Supplier - Clinic/Group Practice 1355785494 Receives reassigned benefits from 13 practitioners
Practice locations: Heavener, OK; Poteau, OK

National Provider Directory

National Provider Directory

Locations

123 E Avenue C
Heavener, OK 74937
Phone (918) 653-2543

123 E Avenue C
Ste B
Heavener, OK 74937
Phone (918) 653-2543

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1891331187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E AVENUE C STE B",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372603",
            "telephone_number": "918-658-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E AVENUE C STE B",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749372603",
            "telephone_number": "918-658-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-658-4016",
        "authorized_official_credential": "MS, MED, LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heavener, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.