Active NPI
Caleb Demarais, LPC
- Professional Counselor
- Collinsville, OK
National Provider Identifier
1265884340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6922
- Practice address
- 628 E Main St
Collinsville, OK 74021-3616 - Phone
- (918) 530-2474
- NPI assigned
- Jul 12, 2016
- Last updated
- Apr 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6922 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
628 E Main St
Collinsville, OK 74021-3616
Mailing address
628 E Main St
Collinsville, OK 74021-3616
Phone (918) 530-2474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 E Superior
Suite 306
Chicago, IL 60611
1 E Superior
Suite 306
Chicago, IL 60611-2507
1 E Superior St
Suite 306
Chicago, IL 60611-2595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6922 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Comprehensive Health Services, Inc | Single Specialty | Current | Accepting new patients |
| Morton Comprehensive Health Services, Inc | Current | Accepting new patients | |
| Caleb Demarais Counseling, PLLC | Single Specialty | Current | Accepting new patients |
Locations
1334 N Lansing Ave
Tulsa, OK 74106
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
-
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1275528085
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1457166522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1265884340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 E MAIN ST",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213616",
"telephone_number": "918-530-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 E MAIN ST",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213616",
"telephone_number": "918-530-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARAIS",
"first_name": "CALEB",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6922",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.