Active NPI
Rex Lynn Fryer, M.ED.
- Counselor
- Chickasha, OK
National Provider Identifier
1255667523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 604
- Practice address
- 2222 West Iowa Avenue
Chickasha, OK 73018-2738 - Phone
- (405) 224-8111
- Fax
- (405) 574-7765
- NPI assigned
- Oct 21, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 604 | OK | Primary |
Addresses
Primary practice location
2222 West Iowa Avenue
Chickasha, OK 73018-2738
Mailing address
P.O. Box 1069
Chickasha, OK 73023-1069
Phone (405) 224-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 4, 2024 through Nov 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604 | 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": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1255667523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1069",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730231069",
"telephone_number": "405-224-8111",
"fax_number": "405-574-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WEST IOWA AVENUE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182738",
"telephone_number": "405-224-8111",
"fax_number": "405-574-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYER",
"first_name": "REX",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-21",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.