Active NPI
Billy Dean Cunningham
- Pastoral Counselor
- Claremore, OK
National Provider Identifier
1336842624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- MC-2014-7
- Practice address
- 203 E 12TH PL
Claremore, OK 74017-4202 - Phone
- (918) 352-0633
- NPI assigned
- Mar 24, 2023
- Last updated
- Jan 23, 2024
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | MC-2014-7 | OK | Primary |
Addresses
Primary practice location
203 E 12TH PL
Claremore, OK 74017-4202
Mailing address
203 E 12TH PL
Claremore, OK 74017-4202
Phone (918) 352-0633
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 |
|---|---|---|---|
| MC-2014-7 | OK | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1336842624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E 12TH PL",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740174202",
"telephone_number": "918-352-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E 12TH PL",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740174202",
"telephone_number": "918-352-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "BILLY",
"middle_name": "DEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-24",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OK",
"license": "MC-2014-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.