MEDICARE: SEASONED HOPE COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316807290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEASONED HOPE COUNSELING

Provider Business Mailing Address
First Line	:	PO BOX 31012
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-0017
Country	:	US
Telephone Number	:	405-226-0277
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 N BROADWAY STE 110
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-3642
Country	:	US
Telephone Number	:	405-226-0277
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	JANE F MATA
Credential	:	LMFT
Telephone Number	:	405-226-0277

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	06/01/2026

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Directions to “SEASONED HOPE COUNSELING ” Practice Location

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