Organization Active NPI

Second Act Counseling, Coaching and Consulting, LLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1932710779
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SECOND ACT COUNSELING, COACHING AND CONSULTING, LLC
Practice address
8904 Stanford CT
Oklahoma City, OK 73132-2601
Phone
(405) 496-6314
NPI assigned
Aug 14, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Dianna Hinshaw, LPC, LADCNPI 1548564651
Title
Owner
Phone
(405) 496-6314

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

8904 Stanford CT
Oklahoma City, OK 73132-2601

Mailing address

5830 NW Expressway, Box 140
Warr Acres, OK 73132-0000
Phone (405) 496-6314

Other identifiers 1

IdentifierTypeStateIssuer
1548564651MedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718001924 OK Part B Supplier - Clinic/Group Practice 5395251268 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

5830 NW Expressway
Warr Acres, OK 73132
Phone (405) 414-0754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1932710779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 NW EXPRESSWAY, BOX 140",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731320000",
            "telephone_number": "405-496-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 STANFORD CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731322601",
            "telephone_number": "405-496-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND ACT COUNSELING, COACHING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HINSHAW",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-496-6314",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548564651",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.