Kaitlyn Renee Roedl, LPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

501 N Walker Ave Ste 140
Oklahoma City, OK 73102-1233

Phone

(405) 841-4800

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Calm Waters Center for Children and Families

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1003342320
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1023725769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S DALLAS AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602346",
            "telephone_number": "405-831-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N WALKER AVE STE 140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021233",
            "telephone_number": "405-841-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDL",
        "first_name": "KAITLYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Rodriguez, BA
• Trinidad Rodriguez
• Vanessa Rodriguez, APRN
• Vanessa Rodriguez
• Kaylee Roebuck
• Robert Joseph Roedl, L.C.S.W.
• Amanda Roehrkasse, PHD
• Kathryn Elizabeth Roesler, MA
• Maria Lisa Roettger, M.A.
• Paul Roettger

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.