Rolicia Danae McKinnon

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3140 W Britton Rd Ste 201
Oklahoma City, OK 73120-2039

Phone

(405) 607-6292

Fax

(405) 607-6307

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oklahoma Mental Health Council

  dba Red Rock Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1275574907

  Single Specialty

  Medicare reassignment NPD
• Oklahoma Mental Health Council

  dba Red Rock Behavioral Health Services

  • Community/Behavioral Health Agency
  • Hobart, OK
  • NPI 1801219340
  NPD
• Primary Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1770929960

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1154802254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 W BRITTON RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202039",
            "telephone_number": "405-607-6292",
            "fax_number": "405-607-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W BRITTON RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202039",
            "telephone_number": "405-607-6292",
            "fax_number": "405-607-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "ROLICIA",
        "middle_name": "DANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kibwei A McKinney, MD
• Patty L McKinney, RN
• Gregory H McKinnis, MD
• Lauren Taylor McKinnon
• Megan Renee McKinnon
• Rachel Rae McKinzie, D.O.
• Steven L McKitrick, CRNA
• Pearlie M McKizzic, COUNSELOR
• Jodie L. McKleroy, M.ED, LPC
• Jewel Anjanette McKnight, M.S.

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.