Kailee Danielle Marshall

Individual provider Active NPI Counselor · Newcastle, OK

NPI 1164081741 · NPPES record last updated Oct 22, 2025

Key facts

NPI
1164081741
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
LPCCANDIDATE12470 (OK)
Practice address
100 NW 16TH St
Newcastle, OK 73065-6248
Phone
(405) 387-3838
Fax
(405) 387-3822
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPCCANDIDATE12470OKMDCounselor

Practice roles

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCCANDIDATE12470 OK Yes

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

Other providers in Newcastle, OK

All providers in Newcastle, OK · Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.