Healthcare Provider Details

I. General information

NPI: 1407999519
Provider Name (Legal Business Name): BAPTIST COUNSELING ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 N PORTLAND AVE STE 102
OKLAHOMA CITY OK
73112-6100
US

IV. Provider business mailing address

PO BOX 12672
OKLAHOMA CITY OK
73157-2672
US

V. Phone/Fax

Practice location:
  • Phone: 405-943-4424
  • Fax: 405-943-2038
Mailing address:
  • Phone: 405-943-4424
  • Fax: 405-943-2038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. KERRY ANN RICHARDS
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-943-4424