Dennis Dale Whitten, MACJ, LADC, ICAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

72 Issued in OK

Practice address

104 N.E. Avenue a
Idabel, OK 74745

Phone

(580) 212-9175

Fax

(580) 286-6385

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kiamichi Council on Alcohoism and Other Drug Abuse Inc.

  • Case Management Agency
  • Idabel, OK
  • NPI 1467990721
  NPD (past)
• Kiamichi Council on Alcoholism and Or Other Drug Abuse, Inc.

  dba Kiamichi Council

  • Community/Behavioral Health Agency
  • Idabel, OK
  • NPI 1407972847
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184743502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747450555",
            "telephone_number": "580-212-9175",
            "fax_number": "580-286-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N.E. AVENUE A",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "74745",
            "telephone_number": "580-212-9175",
            "fax_number": "580-286-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "DENNIS",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MACJ, LADC, ICAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "72",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADC",
            "identifier": "0955461203",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICAADC",
            "identifier": "685",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ALCOHOL AND DRUG",
            "identifier": "72",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Lynn Whisenhunt, LBP
• White River Home Health
• White River Home Health LLC
• Catherine White, M.ED, LPC
• Krissika Faith Whittaker, LMSW
• William J Herron D.O P.C.
• Angela Williams-Smith
• Ross Michael Williams, D.D.S.
• Tammy Michelle Williams, PA-C
• Kristi C. Williamson, RDH

• Addiction (Substance Use Disorder) Counselor in Idabel, OK
• Providers in Idabel, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.