Organization Active NPI

Cliburn Counseling and Support Services

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1912159328
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2473 Issued in OK
Legal business name
CLIBURN COUNSELING AND SUPPORT SERVICES
Practice address
13810 Crossing Way E
Edmond, OK 73013-4720
Phone
(405) 306-1883
Fax
(405) 475-1721
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Ms. B. Gale Cliburn, LICENSED PROFESSIONANPI 1780754283
Title
Owner-Licensed Professional Therapt
Phone
(405) 306-1883

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 2473 OK Primary

Addresses

Primary practice location

13810 Crossing Way E
Edmond, OK 73013-4720

Mailing address

PO Box 5613
Edmond, OK 73083-5613
Phone (405) 306-1883

Other identifiers 1

IdentifierTypeStateIssuer
2473OtherOKSTATE OF OKLAHOMA, DEPT OF HEALTH, LICENSURE DIVISION FOR LICENSED PROFESSIONA

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1912159328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5613",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835613",
            "telephone_number": "405-306-1883",
            "fax_number": "405-475-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CROSSING WAY E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134720",
            "telephone_number": "405-306-1883",
            "fax_number": "405-475-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIBURN COUNSELING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "CLIBURN",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER-LICENSED PROFESSIONAL THERAPT",
        "authorized_official_telephone_number": "405-306-1883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED PROFESSIONA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OKLAHOMA, DEPT OF HEALTH, LICENSURE DIVISION FOR LICENSED PROFESSIONA",
            "identifier": "2473",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.