Healthcare Provider Details

I. General information

NPI: 1316807290
Provider Name (Legal Business Name): SEASONED HOPE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N BROADWAY STE 110
EDMOND OK
73034-3642
US

IV. Provider business mailing address

PO BOX 31012
EDMOND OK
73003-0017
US

V. Phone/Fax

Practice location:
  • Phone: 405-226-0277
  • Fax:
Mailing address:
  • Phone: 405-226-0277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JANE F MATA
Title or Position: OWNER/PROVIDER
Credential: LMFT
Phone: 405-226-0277