Active NPI
Rachael Dawn Fisk, BA
- Addiction (Substance Use Disorder) Counselor
- McAlester, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 628 E Creek Ave
McAlester, OK 74501-6930 - Phone
- (918) 423-1113
- Fax
- (918) 429-1855
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
628 E Creek Ave
McAlester, OK 74501-6930
Mailing address
PO Box 1404
McAlester, OK 74502-1404
Phone (918) 423-1113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 975 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients |
Locations
1101 E Monroe Ave
McAlester, OK 74501
Phone (918) 426-7878
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
Organizations & group practices 3
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.
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
dba Central Oklahoma Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
dba Carl Albert Community Mental Health Center
- Medical Specialty Clinic/Center
- McAlester, OK
- NPI 1689843559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1457529521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1404",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745021404",
"telephone_number": "918-423-1113",
"fax_number": "918-429-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 E CREEK AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745016930",
"telephone_number": "918-423-1113",
"fax_number": "918-429-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "RACHAEL",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.