Southwestern Oklahoma State University

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SOUTHWESTERN OKLAHOMA STATE UNIVERSITY

Practice address

100 Campus Drive
Center for Health and Well-Being
Weatherford, OK 73096

Phone

(580) 774-6039

Fax

(580) 774-7121

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Kay Ellis, LPCNPI 1689911794

Title

Director

Phone

(580) 774-6039

Specialties & licenses 1

Addresses

Other names 1

• Center for Health and Well-being Other name

Practitioners 1

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

• Susan Kay Ellis

  • Professional Counselor
  • Woodward, OK
  • NPI 1689911794
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1912691908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DRIVE",
            "address_2": "CENTER FOR HEALTH AND WELL-BEING",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "73096",
            "telephone_number": "580-774-6039",
            "fax_number": "580-774-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DRIVE",
            "address_2": "CENTER FOR HEALTH AND WELL-BEING",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "73096",
            "telephone_number": "580-774-6039",
            "fax_number": "580-774-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN OKLAHOMA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-774-6039",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Health and Well-being",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Skinner, PTA
• Cherilen Slagell, LPN
• Catheryn Ann Smith, M.ED. LPC
• Southwesten Oklahoma State University Training Room
• Southwestern Oklahoma State University
• Southwestern Sports & Industrial Rehab Clinc Inc
• Amy Elizabeth Sparks, B.S.W.
• Crystal Speights
• Constance Spivey
• Morgan Marie Sprague, MS, LPC

• Health Service Clinic/Center in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Health Service Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.