Embrace Life Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5565 Issued in OK

Legal business name

EMBRACE LIFE COUNSELING LLC

Practice address

10306 N 138TH East Ave Ste 206
Owasso, OK 74055-4679

Phone

(918) 212-6196

Fax

(918) 520-1202

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Petty, LPCNPI 1881842870

Title

LPC and Owner

Phone

(918) 212-6196

Specialties & licenses 1

Addresses

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.

• Kimberly S Petty, M.S.

  • Mental Health Counselor
  • Owasso, OK
  • NPI 1881842870
  NPD Authorized official

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1952881427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE STE 206",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554679",
            "telephone_number": "918-212-6196",
            "fax_number": "918-520-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE STE 206",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554679",
            "telephone_number": "918-212-6196",
            "fax_number": "918-520-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LPC AND OWNER",
        "authorized_official_telephone_number": "918-212-6196",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Gregory Ellington, DO
• Annie Elliott
• Karen Ellis-Prentice
• Destiny Lyn Ellis, LPC-S
• Sageq Elrod
• Empicare, Inc.
• Rebekah Emrich
• Samantha England
• Vanessa England
• Brian C. Ess, PH.D.

• Professional Counselor in Owasso, OK
• Providers in Owasso, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.