Individual provider Active NPI

Bessie Mae Sam, MS LPC CANDIATE

  • Mental Health Counselor
  • McAlester, OK
National Provider Identifier
1982934998
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
721 S George Nigh Expy # 4
#4
McAlester, OK 74501-7400
Phone
(918) 302-0909
Fax
(918) 302-0405
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

721 S George Nigh Expy # 4
#4
McAlester, OK 74501-7400

Mailing address

721 S George Nigh Expy # 4
#4
McAlester, OK 74501-7400
Phone (918) 302-0909

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1982934998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S GEORGE NIGH EXPY # 4",
            "address_2": "#4",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017400",
            "telephone_number": "918-302-0909",
            "fax_number": "918-302-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S GEORGE NIGH EXPY # 4",
            "address_2": "#4",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017400",
            "telephone_number": "918-302-0909",
            "fax_number": "918-302-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "BESSIE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "MS LPC CANDIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.