Active NPI
Kristin Alaine Mackey, MS, LADC CANDIDATE
- Addiction (Substance Use Disorder) Counselor
- Tulsa, OK
National Provider Identifier
1023652385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 434
- Practice address
- 4815 S Sheridan Rd Ste 106
Tulsa, OK 74145-5715 - Phone
- (918) 500-1024
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 434 | OK | Primary |
Addresses
Primary practice location
4815 S Sheridan Rd Ste 106
Tulsa, OK 74145-5715
Mailing address
4815 S Sheridan Rd Ste 106
Tulsa, OK 74145-5715
Phone (918) 500-1024
Other practice location 1
106 S Cleveland Ave
Cushing, OK 74023-3720
Phone (918) 399-4135
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TULSA | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1023652385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 S SHERIDAN RD STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741455715",
"telephone_number": "918-500-1024",
"fax_number": "918-209-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 S SHERIDAN RD STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741455715",
"telephone_number": "918-500-1024"
}
],
"practiceLocations": [
{
"address_1": "106 S Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Cushing",
"state": "OK",
"postal_code": "740233720",
"country_code": "US",
"telephone_number": "918-399-4135",
"fax_number": "918-209-3969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKEY",
"first_name": "KRISTIN",
"middle_name": "ALAINE",
"credential": "MS, LADC CANDIDATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "434",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TULSA",
"affiliation": "N",
"endpointDescription": "Mailing Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "TULSA",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "TULSA",
"address_1": "4815 S Sheridan Rd Ste 106",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741455715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.