Active NPI
Diana L Kizer, LPC CRC NCC
- Professional Counselor
- Antlers, OK
National Provider Identifier
1295059475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3494
- Practice address
- 415 SW 5TH St
Antlers, OK 74523-3612 - Phone
- (580) 579-4752
- Fax
- (580) 498-0020
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3494 | OK | |
| Professional Counselor | 101YP2500X | 3494 | OK | Primary |
Addresses
Primary practice location
415 SW 5TH St
Antlers, OK 74523-3612
Mailing address
PO Box 1000
Antlers, OK 74523-1000
Phone (580) 579-4752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3494 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1295059475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745231000",
"telephone_number": "580-579-4752",
"fax_number": "580-326-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SW 5TH ST",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745233612",
"telephone_number": "580-579-4752",
"fax_number": "580-498-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "DIANA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPC CRC NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "3494",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antlers, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.