Individual provider Active NPI

George August Kasper, M.B.S.

  • Addiction (Substance Use Disorder) Counselor
  • Poteau, OK
National Provider Identifier
1174741359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
108 S Witte St
Poteau, OK 74953-4208
Phone
(918) 647-3546
Fax
(918) 647-4003
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

108 S Witte St
Poteau, OK 74953-4208

Mailing address

19083 Quays Rd
Cameron, OK 74932-2445
Phone (918) 654-7299

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240104001813 OK Practitioner - Mental Health Counselor 7012335433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
876OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174741359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19083 QUAYS RD",
            "city": "CAMERON",
            "state": "OK",
            "postal_code": "749322445",
            "telephone_number": "918-654-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S WITTE ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534208",
            "telephone_number": "918-647-3546",
            "fax_number": "918-647-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER",
        "first_name": "GEORGE",
        "middle_name": "AUGUST",
        "name_prefix": "Mr.",
        "credential": "M.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.