Active NPI
Krystal Rhyne
- Mental Health Counselor
- Enid, OK
National Provider Identifier
1336646231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5808
- Practice address
- 230 W Maple Ave
Enid, OK 73701-4012 - Phone
- (580) 242-5544
- Fax
- (580) 233-8905
- NPI assigned
- Apr 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5808 | OK | Primary |
Addresses
Primary practice location
230 W Maple Ave
Enid, OK 73701-4012
Mailing address
3125 Indian Dr
Enid, OK 73703-6417
Phone (580) 242-5544
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 |
|---|---|---|---|
| 5808 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enid Counseling and Diagnostic | Past | Accepting new patients | |
| Enid Counseling & Diagnostic Center, Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Enid, OK
- NPI 1124132253
Mental Health
-
- Community/Behavioral Health Agency
- Enid, OK
- NPI 1720330012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1336646231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 INDIAN DR",
"city": "ENID",
"state": "OK",
"postal_code": "737036417",
"telephone_number": "580-242-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W MAPLE AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737014012",
"telephone_number": "580-242-5544",
"fax_number": "580-233-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHYNE",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "5808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.