NPIMap

Organization Active NPI

Heart & Soul Professional Counseling Services, Inc.

  • Professional Counselor
  • Weatherford, OK
National Provider Identifier
1891933438
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1545 Issued in OK
Legal business name
HEART & SOUL PROFESSIONAL COUNSELING SERVICES, INC.
Practice address
2701 1/2 E Main St
Weatherford, OK 73096-2641
Phone
(580) 774-2833
Fax
(580) 774-2803
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Mrs. Andra Renael Epperly, LPCNPI 1982613964
Title
Therapist
Phone
(580) 774-2833

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1545 OK Primary

Addresses

Primary practice location

2701 1/2 E Main St
Weatherford, OK 73096-2641

Mailing address

PO Box 643
Weatherford, OK 73096-0643
Phone (580) 774-2833

Other names 1

  • Andra Epperly Other name

National Provider Directory

National Provider Directory
Tax ID family
Andra Epperly2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2701 E Main St
Weatherford, OK 73096
Phone (580) 774-2833

Practitioners & affiliated clinicians

Practitioners 1

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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1891933438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730960643",
            "telephone_number": "580-774-2833",
            "fax_number": "580-774-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 1/2 E MAIN ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962641",
            "telephone_number": "580-774-2833",
            "fax_number": "580-774-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & SOUL PROFESSIONAL COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "EPPERLY",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_middle_name": "RENAEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "580-774-2833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andra Epperly",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.