Kimberly L Duel

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6024 Issued in OK

Practice address

2442 Mohawk Blvd
Tulsa, OK 74110

Phone

(918) 430-0975

Fax

(918) 430-0995

NPI assigned

Nov 5, 2013

Last updated

Apr 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Alliance Mental Health, LLC

  dba YCO Alliance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
  • NPI 1053602649

  Counselor

  NPD
• Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hollis, OK
  • NPI 1255695201
  NPD
• Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Altus, OK
  • NPI 1982263752

  Single Specialty

  NPD
• Alliance Mental Health, LLC

  • Mental Health Counselor
  • Saddle River, NJ
  • NPI 1285520726
  NPD
• Palmer Continuum of Care, Inc.

  dba Tulsa Women and Children's Center

  • Substance Abuse Rehabilitation Facility
  • Tulsa, OK
  • NPI 1104049733
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1285063750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74158",
            "telephone_number": "918-430-0975",
            "fax_number": "918-430-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 MOHAWK BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74110",
            "telephone_number": "918-430-0975",
            "fax_number": "918-430-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUEL",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "6024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Grace Dudney, DPT
• William Dudney, M.D.
• William Henry Dudney, M.D.
• Cody Alan Due
• Kelly Rae Due, CADC
• Charles Duethman
• Levi Duethman, DO
• Alexis Duff, PA
• Dedra Duff, FSP, PEER SPECIALIST
• Patricia Duffy-Feins, MA, MSW

• Addiction (Substance Use Disorder) Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.