Active NPI
John C. Cullen, CADC
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1144432972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 242
- Practice address
- 5208 Classen Cir
Oklahoma City, OK 73118-4429 - Phone
- (405) 810-1766
- Fax
- (405) 810-0331
- NPI assigned
- May 4, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 242 | OK | Primary |
Addresses
Primary practice location
5208 Classen Cir
Oklahoma City, OK 73118-4429
Mailing address
PO Box 6012
Norman, OK 73070-6012
Phone (405) 810-1766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144432972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6012",
"city": "NORMAN",
"state": "OK",
"postal_code": "730706012",
"telephone_number": "405-810-1766",
"fax_number": "405-810-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5208 CLASSEN CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184429",
"telephone_number": "405-810-1766",
"fax_number": "405-810-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "JOHN",
"middle_name": "C.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "242",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.