Active NPI
Edwin Woolly
- Counselor
- Poteau, OK
National Provider Identifier
1902039480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2210 N Broadway St
BLDG B
Poteau, OK 74953-2000 - Phone
- (918) 649-0300
- Fax
- (918) 649-0094
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2210 N Broadway St
BLDG B
Poteau, OK 74953-2000
Mailing address
2210 N Broadway St
BLD B
Poteau, OK 74953-2000
Phone (918) 649-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 Wall St
Poteau, OK 74953-4400
Phone (918) 649-0018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Counseling and Guidance Center LLC | Counselor | Current | Accepting new patients |
Locations
204 Wall St
Ste A
Poteau, OK 74953
Phone (918) 647-2155
204 Wall St
Poteau, OK 74953
Phone (918) 647-8635
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Poteau, OK
- NPI 1457991770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1902039480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 N BROADWAY ST",
"address_2": "BLD B",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532000",
"telephone_number": "918-649-0300",
"fax_number": "918-649-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 N BROADWAY ST",
"address_2": "BLDG B",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532000",
"telephone_number": "918-649-0300",
"fax_number": "918-649-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLLY",
"first_name": "EDWIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.