Individual provider Active NPI

Kimberly Marlow

  • Mental Health Counselor
  • Durant, OK
National Provider Identifier
1366748071
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1312 N 1St Ave
Durant, OK 74701-2810
Phone
(580) 920-2069
Fax
(580) 920-1010
NPI assigned
Jan 28, 2011
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1312 N 1St Ave
Durant, OK 74701-2810

Mailing address

1312 N 1St Ave
Durant, OK 74701-2810
Phone (580) 920-2069

Other practice location 1

563 W 13th St
Atoka, OK 74525-3708
Phone (580) 364-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228002932 OK Practitioner - Mental Health Counselor 5698125979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Psychological Development IncGroup PAC ID 5395929384, 28 clinicians

Practice addresses (Care Compare)

1312 N 1St Ave
Durant, OK 74701-2810
Phone (580) 920-2069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Development, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Southern Oklahoma Treatment Services, Inc. Past Accepting new patients

Locations

563 W 13th St
Atoka, OK 74525
Phone (580) 364-0606

1312 N 1st Ave
Durant, OK 74701
Phone (580) 920-2069

106 S 3rd St
McAlester, OK 74501
Phone (918) 421-8880

1105 Memorial Dr
Ste 202
Denison, TX 75020
Phone (903) 337-0343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1366748071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "580-920-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "580-920-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "OK",
            "postal_code": "745253708",
            "country_code": "US",
            "telephone_number": "580-364-0606",
            "fax_number": "580-364-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.