Individual provider Active NPI

Emma Lewis

  • Behavior Technician
  • Stillwater, OK
National Provider Identifier
1912769076
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-320975 Issued in OK
Practice address
614 S Main St
Stillwater, OK 74074-4059
Phone
(405) 564-3408
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-320975 OK Primary

Addresses

Primary practice location

614 S Main St
Stillwater, OK 74074-4059

Mailing address

Oklahoma State University 321 Iba
Stillwater, OK 74077-0001
Phone (214) 686-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-24-320975OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bison Counseling CurrentSince Mar 20, 2025 Accepting new patients
Counseling and Behavioral Specialists of Oklahoma PastSince Jan 28, 2024 Accepting new patients

Locations

614 S Main St
Stillwater, OK 74074
Phone (405) 564-3408

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1912769076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OKLAHOMA STATE UNIVERSITY 321 IBA",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740770001",
            "telephone_number": "214-686-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744059",
            "telephone_number": "405-564-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-24-320975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.