Individual provider Active NPI

Kendra Janell Ford, LMFT

  • Marriage & Family Therapist
  • Ardmore, OK
National Provider Identifier
1235227273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
857 Issued in OK
Practice address
301 W Main St Ste 324
Ardmore, OK 73401-6322
Phone
(580) 226-9222
Fax
(580) 226-9226
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 857 OK Primary

Addresses

Primary practice location

301 W Main St Ste 324
Ardmore, OK 73401-6322

Mailing address

203 Taggerd Rd
Ardmore, OK 73401-8186
Phone (580) 653-2278

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
I20231219004196 OK Practitioner - Marriage and Family Therapist 3375993165 Practice locations: Ardmore, OK

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 W Main St
Suite 202
Ardmore, OK 73401-6322
Phone (580) 226-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
857OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karlee Craddock PLLC PastSince Dec 15, 2019 Accepting new patients
Developmental Assessment & Intervention Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235227273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TAGGERD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734018186",
            "telephone_number": "580-653-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST STE 324",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322",
            "telephone_number": "580-226-9222",
            "fax_number": "580-226-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KENDRA",
        "middle_name": "JANELL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.