Active NPI
Kimberly McAdoo, CADC UNDER SUPERVISI
- Addiction (Substance Use Disorder) Counselor
- Duncan, OK
National Provider Identifier
1194998385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CADC UNDER SUPERVISI
- Practice address
- 1105 W Main St
Duncan, OK 73533-4563 - Phone
- (580) 255-4323
- Fax
- (580) 470-9981
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC UNDER SUPERVISI | OK | Primary |
Addresses
Primary practice location
1105 W Main St
Duncan, OK 73533-4563
Mailing address
1105 W Main St
Duncan, OK 73533-4563
Phone (580) 255-4323
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
| License | State | Type | Specialty |
|---|---|---|---|
| CADC UNDER SUPERVISI | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1194998385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 W MAIN ST",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735334563",
"telephone_number": "580-255-4323",
"fax_number": "580-470-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 W MAIN ST",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735334563",
"telephone_number": "580-255-4323",
"fax_number": "580-470-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCADOO",
"first_name": "KIMBERLY",
"credential": "CADC UNDER SUPERVISI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "CADC UNDER SUPERVISI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.