Organization Active NPI

Laguna Enterprises, Inc.

  • Mental Health Counselor
  • Moore, OK
National Provider Identifier
1902673239
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAGUNA ENTERPRISES, INC.
Practice address
1309 Old Mill Rd
Moore, OK 73160-6644
Phone
(405) 338-7674
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Jose Solis, LPCNPI 1972841476
Title
Majority Share Holder
Phone
(405) 338-7674

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

1309 Old Mill Rd
Moore, OK 73160-6644

Mailing address

PO Box 58218
Oklahoma City, OK 73157-8218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112001154 OK Part B Supplier - Clinic/Group Practice 9234580341 Receives reassigned benefits from 1 practitioner
Practice locations: Moore, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1902673239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58218",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731578218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OLD MILL RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606644",
            "telephone_number": "405-338-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MAJORITY SHARE HOLDER",
        "authorized_official_telephone_number": "405-338-7674",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.