NPIMap

Organization Active NPI

Samaritan Counseling & Growth Center, Inc.

  • Mental Health Counselor
  • Bartlesville, OK
National Provider Identifier
1891742367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAMARITAN COUNSELING & GROWTH CENTER, INC.
Practice address
245 S Madison Blvd
Bartlesville, OK 74006-2822
Phone
(918) 336-1463
Fax
(918) 331-9717
NPI assigned
May 28, 2006
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
Keith Sheffield, M.DIV., M.S., N.C.C.NPI 1063469534
Title
Executive Director
Phone
(918) 336-1463

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

245 S Madison Blvd
Bartlesville, OK 74006-2822

Mailing address

245 S Madison Blvd
Bartlesville, OK 74006-2822
Phone (918) 336-1463

Other names 1

  • Pastoral Counseling Foundation, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000872 OK Part B Supplier - Clinic/Group Practice 8325017262 Receives reassigned benefits from 3 practitioners
Practice locations: Bartlesville, OK

National Provider Directory

National Provider Directory

Locations

245 S Madison Blvd
Bartlesville, OK 74006
Phone (918) 335-1463

Practitioners & affiliated clinicians

Practitioners 9

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891742367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S MADISON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062822",
            "telephone_number": "918-336-1463",
            "fax_number": "918-331-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S MADISON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062822",
            "telephone_number": "918-336-1463",
            "fax_number": "918-331-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING & GROWTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-336-1463",
        "authorized_official_credential": "M.DIV., M.S., N.C.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pastoral Counseling Foundation, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bartlesville, 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.