Individual provider Active NPI

Kelvin H Hunter III, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1245249408
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2172 Issued in OK
Practice address
3224 SW 119TH St
Suite 1
Oklahoma City, OK 73170-4505
Phone
(405) 759-3880
Fax
(405) 759-3882
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2172 OK Primary

Addresses

Primary practice location

3224 SW 119TH St
Suite 1
Oklahoma City, OK 73170-4505

Mailing address

3224 SW 119TH St
Suite 1
Oklahoma City, OK 73170-4505
Phone (405) 759-3880

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
I20040601000999 OK Practitioner - Clinical Social Worker 1951383371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy Solutions of Oklahoma, LLCGroup PAC ID 2264808211, 22 clinicians

Practice addresses (Care Compare)

620 NW 5TH St D
Main Office
Moore, OK 73160-3947
Phone (405) 208-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2172OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Oct 17, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Joseph M. Ripperger, M.D. PLLC Past Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1245249408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 SW 119TH ST",
            "address_2": "SUITE 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704505",
            "telephone_number": "405-759-3880",
            "fax_number": "405-759-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 SW 119TH ST",
            "address_2": "SUITE 1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704505",
            "telephone_number": "405-759-3880",
            "fax_number": "405-759-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "KELVIN",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.