Organization Active NPI

Mark Shreffler LPC LLC

  • Professional Counselor
  • Bethany, OK
National Provider Identifier
1972186948
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MARK SHREFFLER LPC LLC
Practice address
7004 NW 63Rd St Ste 102
Bethany, OK 73008-1952
Phone
(405) 596-1893
Fax
(405) 883-6051
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Authorized official

Name
Mark Shreffler, LPCNPI 1457436453
Title
Licensed Professional Counselor
Phone
(405) 596-1893

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7004 NW 63Rd St Ste 102
Bethany, OK 73008-1952

Mailing address

PO Box 476
Piedmont, OK 73078-0476
Phone (405) 596-1893

Other names 1

  • Mark Shreffler LPC LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

7004 NW 63rd St
Ste 102
Bethany, OK 73008
Phone (405) 596-1893

10948 NW Expressway
Ste 10
Yukon, OK 73099

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1972186948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730780476",
            "telephone_number": "405-596-1893",
            "fax_number": "405-883-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 NW 63RD ST STE 102",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730081952",
            "telephone_number": "405-596-1893",
            "fax_number": "405-883-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SHREFFLER LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "SHREFFLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-596-1893",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Shreffler LPC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mark Shreffler LPC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.