Individual provider Active NPI

Clifton Forest Cypert, MHR, LPC

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1104195650
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6437 Issued in OK
Practice address
4575 Vista Valley LN
Edmond, OK 73025-1189
Phone
(405) 222-7898
Fax
(405) 513-5970
NPI assigned
Dec 28, 2011
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK
Professional Counselor 101YP2500X 6437 OK Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

4575 Vista Valley LN
Edmond, OK 73025-1189

Mailing address

4575 Vista Valley LN
Edmond, OK 73025-1189
Phone (405) 222-7898

Other identifiers 1

IdentifierTypeStateIssuer
200414750BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6437OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Accesspoint Group, LLC Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1104195650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 VISTA VALLEY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730251189",
            "telephone_number": "405-222-7898",
            "fax_number": "405-513-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 VISTA VALLEY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730251189",
            "telephone_number": "405-222-7898",
            "fax_number": "405-513-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYPERT",
        "first_name": "CLIFTON",
        "middle_name": "FOREST",
        "name_prefix": "Mr.",
        "credential": "MHR, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6437",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414750B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.