Individual provider Active NPI

Terri Paulette Kiefner, LCSW

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1376228908
Registry record updated Aug 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1233 Issued in OK
Practice address
904 SW 126TH St
Oklahoma City, OK 73170-6940
Phone
(405) 255-9196
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2023

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 1233 OK Primary

Addresses

Primary practice location

904 SW 126TH St
Oklahoma City, OK 73170-6940

Mailing address

904 SW 126TH St
Oklahoma City, OK 73170-6940
Phone (405) 255-9196

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
I20231208000900 OK Practitioner - Clinical Social Worker 9638528284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

849 E 33Rd St
Edmond, OK 73013-5407
Phone (405) 888-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1233OKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopestone Behavioral Health PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

849 E 33rd St
Edmond, OK 73013
Phone (405) 697-1073

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692403200000",
    "number": "1376228908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SW 126TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706940",
            "telephone_number": "405-255-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SW 126TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706940",
            "telephone_number": "405-255-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFNER",
        "first_name": "TERRI",
        "middle_name": "PAULETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-08-19",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.