Active NPI
Candeeta Joy Oliver
- Counselor
- Newcastle, OK
National Provider Identifier
1154680676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 05099
- Practice address
- 1804 Comice Dr
Newcastle, OK 73065-6267 - Phone
- (723) 631-6945
- NPI assigned
- May 4, 2012
- Last updated
- May 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 05099 | OK | Primary |
Addresses
Primary practice location
1804 Comice Dr
Newcastle, OK 73065-6267
Mailing address
1804 Comice Dr
Newcastle, OK 73065-6267
Phone (572) 363-1694
Other names 1
- Candeeta Joy Embrey
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 |
|---|---|---|---|
| 05099 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1154680676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 COMICE DR",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "730656267",
"telephone_number": "572-363-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 COMICE DR",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "730656267",
"telephone_number": "723-631-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "CANDEETA",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "05099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDEETA",
"last_name": "EMBREY",
"middle_name": "JOY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newcastle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.