Rickeal L Preston, M.S., LBP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0294 Issued in OK

Practice address

2502 Crossroads Dr
Ardmore, OK 73401-2503

Phone

(580) 226-9388

Fax

(580) 226-9395

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1235344383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BLACK BIRD LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017425",
            "telephone_number": "405-360-2133",
            "fax_number": "405-360-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 CROSSROADS DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012503",
            "telephone_number": "580-226-9388",
            "fax_number": "580-226-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "RICKEAL",
        "middle_name": "L",
        "credential": "M.S., LBP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "0294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Oklahoma Medical PC (Dot Ardmore Family Health Center)
• Premise Health of Oklahoma Medical PC (Valero Employee Wellness Center)
• Premise Health of Oklahoma Medical PC (Michelin Family Heatlh Center-Ardmore)
• Monique Lashawn President
• Jeni Presley, LPC
• Tasha Renee Preston, ARNP
• Clarissa Prigmore
• Prime Rehab Partners, LLC
• Primecare Family Clinic LLC
• Proactive Enterprises LLC (ProActive Chiropractic)

• Mental Health Counselor in Ardmore, OK
• Providers in Ardmore, 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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.