Individual provider Active NPI

Willard Spradlin, M.ED. LPC

  • Mental Health Counselor
  • Hulbert, OK
National Provider Identifier
1992932743
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3023 Issued in OK
Practice address
14853 Highway 82C
Hulbert, OK 74441-3417
Phone
(918) 456-0544
Fax
(918) 598-3833
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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 3023 OK Primary

Addresses

Primary practice location

14853 Highway 82C
Hulbert, OK 74441-3417

Mailing address

14853 Highway 82C
Hulbert, OK 74441-3417
Phone (918) 456-0544

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

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1992932743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14853 HIGHWAY 82C",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744413417",
            "telephone_number": "918-456-0544",
            "fax_number": "918-598-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14853 HIGHWAY 82C",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744413417",
            "telephone_number": "918-456-0544",
            "fax_number": "918-598-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "WILLARD",
        "name_prefix": "Mr.",
        "credential": "M.ED. LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hulbert, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.