Casey Raymond

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

401 E Broadway CT Ste E
Sand Springs, OK 74063-7931

Phone

(918) 245-5565

NPI assigned

Jul 9, 2021

Sex

Male

Sole proprietor

Yes

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.

• Grand Lake Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, OK
  • NPI 1497762520
  Medicare reassignment NPD
• Grand Lake Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Ponca City, OK
  • NPI 1356981138
  NPD
• Grand Lake Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1356048656
  NPD
• Counseling & Recovery Services of Oklahoma, Inc.

  • Community/Behavioral Health Agency
  • Sand Springs, OK
  • NPI 1487717781
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1093386112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BROADWAY CT STE E",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637931",
            "telephone_number": "918-245-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BROADWAY CT STE E",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637931",
            "telephone_number": "918-245-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proctor'S Advanced Care Services LLC
• Mariah Quimby, OTA
• Jessica Ann Rauser
• Ravens and Red Pandas Collective LLC
• Alexandra Raygoza
• Timothy Daniel Regan, DDS
• Kam L Repschlaeger, PTA
• Lesley Denise Richardt, R.P.T.A.
• Cassondra Michelle Ridgway, DO, MS
• Laura Kathryn Riggins, O.D.

• Professional Counselor in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.