Individual provider Active NPI

Kailee Danielle Marshall

  • Counselor
  • Newcastle, OK
National Provider Identifier
1164081741
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCCANDIDATE12470 Issued in OK
Practice address
100 NW 16TH St
Newcastle, OK 73065-6248
Phone
(405) 387-3838
Fax
(405) 387-3822
NPI assigned
Jun 7, 2019
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCCANDIDATE12470 OK Primary

Addresses

Primary practice location

100 NW 16TH St
Newcastle, OK 73065-6248

Mailing address

103 NE 7TH St
Moore, OK 73160-4807
Phone (405) 274-4029

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

LicenseStateTypeSpecialty
LPCCANDIDATE12470OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeramiah Walker Aprn CNP PLLC PastSince Jan 8, 2014 Accepting new patients
Aimee Walker Ms LPC PLLC PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1164081741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NE 7TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604807",
            "telephone_number": "405-274-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 16TH ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656248",
            "telephone_number": "405-387-3838",
            "fax_number": "405-387-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KAILEE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPCCANDIDATE12470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 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.

Verify at the official NPI Registry.