Kaylie Marie Anderson
Individual provider Active NPI Mental Health Counselor · Stillwater, OK
NPI 1013446293 · NPPES record last updated Jun 9, 2017
Key facts
- NPI
- 1013446293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 121 S Duck St
Stillwater, OK 74074-3292 - Phone
- (405) 372-7791
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
121 S Duck St
Stillwater, OK 74074-3292
Mailing address
3602 N Washington St Apt I85
Stillwater, OK 74075-1327
Phone (817) 996-6991
Other providers in Stillwater, OK
- Shelby Nicole Amey
- Amy Anderson
- James H. Anderson
- Jim A Anderson
- Karen Anderson
- Rachel Pauline Anderson
- Sean Anderson
- Wesley Andrews
- Ahmad Aneeq
- Anesthesia Specialists Inc
All providers in Stillwater, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.