Kim Stanford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

06968 Issued in OK

Practice address

716 S 2ND St # 1014
Stilwell, OK 74960-4806

Phone

(919) 696-6212

Fax

(918) 696-6213

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1841311289
  Medicare reassignment NPD
• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Tahlequah, OK
  • NPI 1043331499
  NPD
• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1194170134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ALYENE DR",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603230",
            "telephone_number": "918-575-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S 2ND ST # 1014",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749604806",
            "telephone_number": "919-696-6212",
            "fax_number": "918-696-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "06968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SNH Opco, LLC
• Cassandra Dawn Snider, M.S. CCC-SLP
• Tina Marie Southworth, DC
• Rebecca L Sparks, LCSW
• Adam Graymoor Sprankell, M.D.
• Nichole Deann Starr, BHRS
• Stilwell Drug Company LLC
• Stilwell Nursing Home Inc
• Stilwell Nursing Home LLC
• Stilwell Public School

• Mental Health Counselor in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.