Active NPI
Ime Caldwell
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1124692058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6448 S Western Ave Ste 104
Oklahoma City, OK 73139-1711 - Phone
- (405) 318-6593
- NPI assigned
- May 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6448 S Western Ave Ste 104
Oklahoma City, OK 73139-1711
Mailing address
1500 NE 14TH St
Oklahoma City, OK 73117-2618
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11283 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Solutions of Oklahoma, LLC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Moore, OK
- NPI 1659855278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1124692058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NE 14TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731172618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6448 S WESTERN AVE STE 104",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731391711",
"telephone_number": "405-318-6593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "IME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"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 May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.