Active NPI
Kaleidoscope Counseling, PLLC
- Mental Health Counselor
- Ardmore, OK
National Provider Identifier
1235047457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KALEIDOSCOPE COUNSELING, PLLC
- Practice address
- 3442 Edgewood Rd
Ardmore, OK 73401-7897 - Phone
- (580) 768-1634
- NPI assigned
- Aug 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miranda Bowman, MSHR, CRC, NCC, LPC
- Title
- Therapist
- Phone
- (580) 768-1634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3442 Edgewood Rd
Ardmore, OK 73401-7897
Mailing address
3442 Edgewood Rd
Ardmore, OK 73401-7897
Phone (580) 768-1634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787961600000",
"number": "1235047457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3442 EDGEWOOD RD",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734017897",
"telephone_number": "580-768-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 EDGEWOOD RD",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734017897",
"telephone_number": "580-768-1634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALEIDOSCOPE COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "MIRANDA",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "580-768-1634",
"authorized_official_credential": "MSHR, CRC, NCC, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.