Stephanie Latrese Christian

Primary specialty

CounselorTaxonomy code 101Y00000X

License

98769 Issued in TX

Practice address

821 W Broadway St
Ardmore, OK 73401-4526

Phone

(580) 224-2830

Fax

(580) 223-7856

NPI assigned

Nov 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brave Health Medical Group PA

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1225669161

  Mental Health, OK, TX

  Medicare reassignment NPD
• Community Youth Services of Southern Oklahoma, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Ardmore, OK
  • NPI 1003949439
  NPD
• Jim Wallace and Associates Inc.

  • Community/Behavioral Health Agency
  • Ardmore, OK
  • NPI 1194860247
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1972804847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CARPENTER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748645",
            "telephone_number": "405-653-5895",
            "fax_number": "580-223-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014526",
            "telephone_number": "580-224-2830",
            "fax_number": "580-223-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8515 Greenville Ave Ste N108",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752437035",
            "country_code": "US",
            "telephone_number": "214-221-0855 x3161",
            "fax_number": "214-710-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "STEPHANIE",
        "middle_name": "LATRESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "98769",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Cole Cheek, APRN, CNP
• Chickasaw Nation Division of Health
• Chickasaw Nation Division of Health
• Kari Dawn Childers, BCBA
• Chiropractic Services, Inc
• Shaeanna Renae Clapp
• Clayton V Clark
• Emma Clark
• Madison Clark
• Jeremy Classo, PHARMD

• Counselor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.