Kimberly Suzanne Coats, LPC
Individual provider Active NPI Professional Counselor · Bixby, OK
NPI 1154887289 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1154887289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7724 (OK)
- Practice address
- 7643 E 126TH St S Ste 218D
Bixby, OK 74008-2988 - Phone
- (918) 697-9779
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7724 | OK | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7724 | OK | |
| Professional Counselor | 101YP2500X | 7724 | OK | Yes |
Addresses
Primary practice location
7643 E 126TH St S Ste 218D
Bixby, OK 74008-2988
Mailing address
7643 E 126TH St S Ste 218D
Bixby, OK 74008-2988
Phone (918) 697-9779
Other providers in Bixby, OK
- David Noel Chorley
- Christopher Trockel Orthodontics PC
- Hannah Victoria Christopherson
- City of Bixby
- Cleekham Empower Academy LLC
- Danielle Colbert
- Amber Cooke
- Matthew Shawn Cooper Jr.
- Candra Lee Ann Copassbridges
- Kerri Cornwell
All providers in Bixby, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.