Active NPI
John E. Karis, LBP
- Professional Counselor
- Yukon, OK
National Provider Identifier
1295058014
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 322
- Practice address
- 11701 Hollyrock CT
Yukon, OK 73099-6566 - Phone
- (405) 234-0369
- Fax
- (405) 494-7300
- NPI assigned
- Mar 8, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 322 | OK | Primary |
Addresses
Primary practice location
11701 Hollyrock CT
Yukon, OK 73099-6566
Mailing address
11701 Hollyrock CT
Yukon, OK 73099-6566
Phone (405) 234-0369
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | 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": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1295058014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 HOLLYROCK CT",
"city": "YUKON",
"state": "OK",
"postal_code": "730996566",
"telephone_number": "405-234-0369",
"fax_number": "405-494-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 HOLLYROCK CT",
"city": "YUKON",
"state": "OK",
"postal_code": "730996566",
"telephone_number": "405-234-0369",
"fax_number": "405-494-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARIS",
"first_name": "JOHN",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "LBP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.