NPIMap

Organization Active NPI

Mariposa Counseling, Inc.

  • Mental Health Counselor
  • Moore, OK
National Provider Identifier
1972604171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3204 Issued in OK
Legal business name
MARIPOSA COUNSELING, INC.
Practice address
1922 N Eastern Ave
Moore, OK 73160-5605
Phone
(405) 326-8935
Fax
(405) 735-5265
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kelly Bender, LPCNPI 1174623201
Title
President
Phone
(405) 326-8945

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 3204 OK Primary

Addresses

Primary practice location

1922 N Eastern Ave
Moore, OK 73160-5605

Mailing address

1922 N Eastern Ave
Moore, OK 73160-5605
Phone (405) 326-8935

National Provider Directory

National Provider Directory

Locations

1922 N Eastern Ave
Moore, OK 73160
Phone (405) 447-6188

Practitioners & affiliated clinicians

Practitioners 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972604171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605605",
            "telephone_number": "405-326-8935",
            "fax_number": "405-735-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605605",
            "telephone_number": "405-326-8935",
            "fax_number": "405-735-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-326-8945",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.