TIA MURRY
Complete NPI Record 1750672044
Counselor - Mental Health in Oklahoma City, OK

NPI Status: Active since April 21, 2011

Contact Information

1330 N CLASSEN BLVD STE 110
OKLAHOMA CITY, OK
ZIP 73106
Phone: (405) 605-0398

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Complete NPI Dataset

This page represents the complete record for NPI 1750672044. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750672044
The fax number associated with the location address of the provider being identified.
Entity Type Code: 1
The date the provider was assigned a unique identifier (assigned an NPI).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: TIA
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 802 SOUTH 2ND STREET
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: CHICKASHA
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: OK
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 73018
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 4053201014
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 1330 N CLASSEN BLVD STE 110
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: OKLAHOMA CITY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: OK
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 731066835
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4056050398
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/21/2011
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 4/21/2011
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 101YM0800X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.