Organization Active NPI

Kori Zibell PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Edmond, OK
National Provider Identifier
1437548930
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1013 Issued in OK
Legal business name
KORI ZIBELL PLLC
Practice address
2529 S Kelly Ave
C
Edmond, OK 73013-2966
Phone
(405) 850-5860
Fax
(405) 562-1975
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Kori Zibell, LADCNPI 1659656148
Title
Owner
Phone
(405) 850-5860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1013 OK Primary

Addresses

Primary practice location

2529 S Kelly Ave
C
Edmond, OK 73013-2966

Mailing address

2529 S Kelly Ave
C
Edmond, OK 73013-2966

Other identifiers 1

IdentifierTypeStateIssuer
200437270AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1437548930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 S KELLY AVE",
            "address_2": "C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132966",
            "fax_number": "405-562-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S KELLY AVE",
            "address_2": "C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132966",
            "telephone_number": "405-850-5860",
            "fax_number": "405-562-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORI ZIBELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "ZIBELL",
        "authorized_official_first_name": "KORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-850-5860",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437270A",
            "state": "OK"
        }
    ],
    "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 Jan 21, 2015; 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.