Active NPI
Forrest Joshua Champion
- Mental Health Counselor
- El Reno, OK
National Provider Identifier
1942573308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7777 E US Highway 66
El Reno, OK 73036-9125 - Phone
- (405) 422-8800
- NPI assigned
- Feb 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OK | Primary |
Addresses
Primary practice location
7777 E US Highway 66
El Reno, OK 73036-9125
Mailing address
6902 NW 37TH St
Bethany, OK 73008-3323
Phone (405) 570-0319
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1942573308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6902 NW 37TH ST",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083323",
"telephone_number": "405-570-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 E US HIGHWAY 66",
"city": "EL RENO",
"state": "OK",
"postal_code": "730369125",
"telephone_number": "405-422-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "FORREST",
"middle_name": "JOSHUA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.