Kristen Wagoner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1101 E Washington Ave
McAlester, OK 74501-4919

Phone

(918) 420-5006

NPI assigned

Jun 18, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Massey Counseling and Consulting

  • Community/Behavioral Health Agency
  • McAlester, OK
  • NPI 1487969184
  Medicare reassignment NPD

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1265846141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E WASHINGTON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014919",
            "telephone_number": "918-420-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WASHINGTON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014919",
            "telephone_number": "918-420-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phil Joseph Vilar, CRNA
• Susan A Vilar, BA, BHRS
• Lisa Waddell, MSW
• Christopher W Wade, OTR/L
• Katoma Havannah Wadkins-Caldwell
• Wal-Mart Stores East , LP
• Wal-Mart Stores East LP
• Walgreen Co
• Madison Walker, M.S.
• Iris Jenell Walla, R.N.

• Mental Health Counselor in McAlester, OK
• Providers in McAlester, 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 Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.