Individual provider Active NPI

Kelli Nicole McGee, LCSW

  • Social Worker
  • Muskogee, OK
National Provider Identifier
1104145895
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
619 N Main St
Muskogee, OK 74401-4431
Phone
(918) 682-8407
Fax
(918) 687-0976
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X 7076 OK

Addresses

Primary practice location

619 N Main St
Muskogee, OK 74401-4431

Mailing address

619 N Main St
Muskogee, OK 74401-4431
Phone (918) 682-8407

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250922002668 OK Practitioner - Mental Health Counselor 7517208119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

619 N Main St
Muskogee, OK 74401-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7076OKMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Behavioral Health Services, Inc. CurrentSince Jul 11, 2025 Accepting new patients

Locations

422 W Gentry Ave
Checotah, OK 74426
Phone (918) 926-6100

619 N Main St
Muskogee, OK 74401
Phone (918) 687-1039

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1104145895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014431",
            "telephone_number": "918-682-8407",
            "fax_number": "918-687-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014431",
            "telephone_number": "918-682-8407",
            "fax_number": "918-687-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "KELLI",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.