EDDIE STARK
NPI 1700123429
Counselor in Oklahoma City, OK

Active since January 15, 2013
10948 N MAY AVE, OKLAHOMA CITY, OK 73120(405) 751-8889 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Eddie Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE STARK (NPI 1700123429) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1700123429
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEDDIE STARK
Location Address10948 N MAY AVEOklahoma City, OK 73120-6223
Mailing AddressPo Box 398Noble, OK 73068-0398
Sole ProprietorYes
Enumeration DateJanuary 15, 2013
✔ NPI 1700123429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
10948 N MAY AVE, Oklahoma City, OK 73120

Other Identifiers 1

Medicaid000000000OK

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
10948 N MAY AVE, B
OKLAHOMA CITY, OK 73120
Counselor (Mental Health)
10948 N MAY AVE
OKLAHOMA CITY, OK 73120
Counselor (Mental Health)
10948 N MAY AVE, SUITE B
OKLAHOMA CITY, OK 73120
Counselor
10948 N MAY AVE, SUITE B
OKLAHOMA CITY, OK 73120
Counselor (Mental Health)
10948 N MAY AVE
OKLAHOMA CITY, OK 73120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Stark's NPI number?

The NPI number for Eddie Stark is 1700123429. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Eddie Stark located?

Eddie Stark practices at 10948 N May Ave, Oklahoma City, OK 73120. The listed phone number is (405) 751-8889.

What is Eddie Stark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Eddie Stark was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.