Active NPI
Corey Degiacomo, LMFT CANDIDATE
- Marriage & Family Therapist
- Oklahoma City, OK
National Provider Identifier
1093686388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 10400 Vineyard Blvd Ste a
Oklahoma City, OK 73120-3830 - Phone
- (405) 242-5305
- NPI assigned
- Sep 17, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | OK | Primary |
Addresses
Primary practice location
10400 Vineyard Blvd Ste a
Oklahoma City, OK 73120-3830
Mailing address
10400 Vineyard Blvd Ste a
Oklahoma City, OK 73120-3830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 2, 2026 through Mar 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1093686388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 VINEYARD BLVD STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731203830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 VINEYARD BLVD STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731203830",
"telephone_number": "405-242-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGIACOMO",
"first_name": "COREY",
"credential": "LMFT CANDIDATE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.