Individual provider Active NPI

Krystal Dawn Barnum, M.A, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1265751960
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6323 Issued in OK
Practice address
6801 S Western Ave Ste 101
Oklahoma City, OK 73139-1816
Phone
(405) 550-2688
Fax
(405) 619-3924
NPI assigned
May 20, 2010
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6323 OK Primary

Addresses

Primary practice location

6801 S Western Ave Ste 101
Oklahoma City, OK 73139-1816

Mailing address

6801 S Western Ave Ste 101
Oklahoma City, OK 73139-1816
Phone (405) 550-2688

Other practice location 1

620 NW 5th St Ste D
Moore, OK 73160-3947
Phone (405) 208-4469

Other identifiers 3

IdentifierTypeStateIssuer
200375440BMedicaidOK
1164939765OtherOKWORK NPI
82-0996935OtherOKDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6323OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Revolutions Behavioral Health Services, LLC Professional CurrentSince Mar 27, 2022 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC Past Accepting new patients

Locations

6801 S Western Ave
Ste 101
Oklahoma City, OK 73139
Phone (405) 254-6047

6801 S Western Ave
Ste 105
Oklahoma City, OK 73139
Phone (405) 338-7674

6801 S Western Ave
Ste 203
Oklahoma City, OK 73139
Phone (405) 245-7059

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1265751960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S WESTERN AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391816",
            "telephone_number": "405-550-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S WESTERN AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391816",
            "telephone_number": "405-550-2688",
            "fax_number": "405-619-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 NW 5th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603947",
            "country_code": "US",
            "telephone_number": "405-208-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "KRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.A, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375440B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK NPI",
            "identifier": "1164939765",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE",
            "identifier": "82-0996935",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.