Individual provider Active NPI

Rebecca Klutts, LMFT CANDIDATE

  • Counselor
  • Okemah, OK
National Provider Identifier
1194332957
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
209 W Broadway St
Okemah, OK 74859-2618
Phone
(918) 623-2922
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK Primary

Addresses

Primary practice location

209 W Broadway St
Okemah, OK 74859-2618

Mailing address

109005 N 3750 Rd
Okemah, OK 74859-5904
Phone (918) 650-5132

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
I20250305002213 OK Practitioner - Marriage and Family Therapist 9537680624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

209 W Broadway St
Okemah, OK 74859-2618
Phone (918) 623-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services CurrentSince Feb 1, 2025 Accepting new patients
Creoks Mental Health Services Current Accepting new patients
Creoks Mental Health Services CurrentSince Feb 1, 2025 Accepting new patients

Locations

209 W Broadway St
Okemah, OK 74859
Phone (918) 623-2922

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1194332957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109005 N 3750 RD",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748595904",
            "telephone_number": "918-650-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W BROADWAY ST",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748592618",
            "telephone_number": "918-623-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTTS",
        "first_name": "REBECCA",
        "credential": "LMFT CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemah, OK

Sources for this page

Verify at the official NPI Registry.