Individual provider Active NPI

Kristina L McKune, LPC, LADC, NCC, ACHT

  • Professional Counselor
  • Altus, OK
National Provider Identifier
1184669780
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
129 Issued in OK
Practice address
118 W Broadway St Ste 102
Altus, OK 73521-3816
Phone
(580) 379-4900
Fax
(580) 379-4921
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2729 OK
Professional Counselor 101YP2500X 129 OK Primary

Addresses

Primary practice location

118 W Broadway St Ste 102
Altus, OK 73521-3816

Mailing address

PO Box 112
Eldorado, OK 73537-0112
Phone (580) 379-4900

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
129OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dancing Hawk Counseling, LLC Mental Health Past Accepting new patients
Jackson County Memorial Hospital Authority Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1184669780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "ELDORADO",
            "state": "OK",
            "postal_code": "735370112",
            "telephone_number": "580-379-4900",
            "fax_number": "580-379-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W BROADWAY ST STE 102",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213816",
            "telephone_number": "580-379-4900",
            "fax_number": "580-379-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKUNE",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC, LADC, NCC, ACHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.