Individual provider Active NPI

Kristen Callaway, LMFT

  • Marriage & Family Therapist
  • Edmond, OK
National Provider Identifier
1356754030
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1340 Issued in OK
Practice address
416 W 15TH St Ste 400a
Edmond, OK 73013-3688
Phone
(405) 225-0047
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1340 OK Primary

Addresses

Primary practice location

416 W 15TH St Ste 400a
Edmond, OK 73013-3688

Mailing address

416 W 15TH St Ste 400a
Edmond, OK 73013-3688
Phone (405) 225-0047

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

LicenseStateTypeSpecialty
1340OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seeking Peace Counseling PLLC Current Accepting new patients

Locations

416 W 15th St
Ste 400A
Edmond, OK 73013
Phone (405) 225-0047

16301 Sonoma Park Dr
Edmond, OK 73013
Phone (405) 246-5433

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1356754030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST STE 400A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133688",
            "telephone_number": "405-225-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST STE 400A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133688",
            "telephone_number": "405-225-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "KRISTEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.