Active NPI
Cary L Pittman
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1417276882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7293
- Practice address
- 1415 NW 43Rd St Ste 103
Oklahoma City, OK 73118-5027 - Phone
- (405) 204-1123
- NPI assigned
- May 25, 2010
- Last updated
- Jul 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7293 | OK | Primary |
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
1415 NW 43Rd St Ste 103
Oklahoma City, OK 73118-5027
Mailing address
4805 NE 63Rd St
Oklahoma City, OK 73121-3133
Phone (405) 204-1123
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 |
|---|---|---|---|
| 7293 | OK | MD | Family Medicine Physician |
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, 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": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1417276882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 NE 63RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731213133",
"telephone_number": "405-204-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 NW 43RD ST STE 103",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185027",
"telephone_number": "405-204-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "CARY",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "7293",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.