Active NPI
Kris Deryle Kygar, LADC MH
- Counselor
- Oklahoma City, OK
National Provider Identifier
1457663874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1441
- Practice address
- 9531 E Cardinal PL # 1562
Oklahoma City, OK 73130-2518 - Phone
- (405) 256-8102
- NPI assigned
- Jul 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1441 | OK | Primary |
Addresses
Primary practice location
9531 E Cardinal PL # 1562
Oklahoma City, OK 73130-2518
Mailing address
6608 N Western Ave # 1562
Oklahoma City, OK 73116-7326
Phone (405) 256-8102
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 |
|---|---|---|---|
| 1441 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1457663874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 N WESTERN AVE # 1562",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167326",
"telephone_number": "405-256-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9531 E CARDINAL PL # 1562",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731302518",
"telephone_number": "405-256-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYGAR",
"first_name": "KRIS",
"middle_name": "DERYLE",
"name_prefix": "Mr.",
"credential": "LADC MH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "1441",
"primary": true
}
],
"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 May 15, 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.