Christina Michelle Capps-Johnston
Individual provider Active NPI Peer Specialist · Okmulgee, OK
NPI 1063114239 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1063114239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1803 S Wood Dr
Okmulgee, OK 74447-6825 - Phone
- (918) 756-9250
- Fax
- (918) 756-9187
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1803 S Wood Dr
Okmulgee, OK 74447-6825
Mailing address
1803 S Wood Dr
Okmulgee, OK 74447-6825
Phone (918) 756-9250
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. 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.