Active NPI
Edward Ryan Pense, M.ED., LPC
- Counselor
- Madill, OK
National Provider Identifier
1992909147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3815
- Practice address
- 603 S 1St St
Madill, OK 73446-3807 - Phone
- (580) 795-5564
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3815 | OK | Primary |
Addresses
Primary practice location
603 S 1St St
Madill, OK 73446-3807
Mailing address
13901 W Greasy Bend Rd
Mannsville, OK 73447-1023
Phone (580) 222-6905
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3815 | OK | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992909147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13901 W GREASY BEND RD",
"city": "MANNSVILLE",
"state": "OK",
"postal_code": "734471023",
"telephone_number": "580-222-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S 1ST ST",
"city": "MADILL",
"state": "OK",
"postal_code": "734463807",
"telephone_number": "580-795-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENSE",
"first_name": "EDWARD",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "M.ED., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "3815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.