Active NPI
Kara Sue Niccum, M.S.
- Marriage & Family Therapist
- Stillwater, OK
National Provider Identifier
1114216959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1002
- Practice address
- 320 Student Union
Stillwater, OK 74078 - Phone
- (918) 850-9498
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 866 | OK | |
| Marriage & Family Therapist | 106H00000X | 1002 | OK | Primary |
Addresses
Primary practice location
320 Student Union
Stillwater, OK 74078
Mailing address
802 Park Place
Stillwater, OK 74075
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866 | OK | MD | Athletic Trainer |
| 1002 | OK | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1114216959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 PARK PLACE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 STUDENT UNION",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74078",
"telephone_number": "918-850-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICCUM",
"first_name": "KARA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "866",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
- Elizabeth Jo Newell, LCSW
- Reese Michelle Newman, RBT
- Newview Oklahoma Inc.
- Next Step Up Corp (Coney Island Homecare Home Health Oklahoma)
- Next Step Up Corp (Coney Island Homecare Hospice of Oklahoma)
- Faith Monae Nichols
- Amy Elizabeth Nickel
- Keely Elizabeth Nickel, PA-C
- Cathy Nieman, MD
- Elizabeth Nieman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.