Individual provider Active NPI

Karen Catherine Clifford Broyles, CANDIDATE FOR LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1356198246
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
100 W Wilshire Blvd Ste C3
Oklahoma City, OK 73116-9050
Phone
(405) 210-1852
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X OK Primary

Addresses

Primary practice location

100 W Wilshire Blvd Ste C3
Oklahoma City, OK 73116-9050

Mailing address

501 NW 17TH St
Oklahoma City, OK 73103-2113
Phone (405) 210-1852

Other names 1

  • K.C. Clifford Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1356198246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 17TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032113",
            "telephone_number": "405-210-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W WILSHIRE BLVD STE C3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169050",
            "telephone_number": "405-210-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "KAREN CATHERINE",
        "middle_name": "CLIFFORD",
        "credential": "CANDIDATE FOR LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.C.",
            "last_name": "CLIFFORD",
            "credential": "CANDIDATE FOR LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.