Deon Dupree Whiteside, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05915 Issued in OK

Practice address

1108 SW 30TH CT Ste B
Moore, OK 73160-2888

Phone

(405) 378-2727

NPI assigned

Aug 3, 2010

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1457665390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 SW 30TH CT STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-378-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SW 30TH CT STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-378-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 N Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731185258",
            "country_code": "US",
            "telephone_number": "405-767-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "DEON",
        "middle_name": "DUPREE",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "J083159599",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC05915",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPC05915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elizabeth Wheeler
• Caroline Anne Whitaker, PMHNP
• Jessica Elaine White, M.S. CCC-SLP
• Mary White, OTR/L
• William C White
• Philip Edward Whitlow, O.D.
• Rhonda Faye Whittacre
• Isabella Wiggins
• Michael Andrew Wiles, OD
• Jessica Wilhite, MS, CCC-SLP

• Mental Health Counselor in Moore, OK
• Providers in Moore, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.

Verify at the official NPI Registry.