Individual provider Active NPI

McKenzie McGuffee

  • Counselor
  • Midwest City, OK
National Provider Identifier
1467068098
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
717 Briarcrest Dr
Midwest City, OK 73110-1619
Phone
(405) 517-8484
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK Primary

Addresses

Primary practice location

717 Briarcrest Dr
Midwest City, OK 73110-1619

Mailing address

333 W Main St Ste 140
Ardmore, OK 73401-6321
Phone (580) 224-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002386 TX Practitioner - Marriage and Family Therapist 6901343102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizen Potawatomi NationGroup PAC ID 3375511488, 35 clinicians

Practice addresses (Care Compare)

2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone (405) 273-5236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Potawatomi Nation CurrentSince May 23, 2024 Accepting new patients
Citizen Potawatomi Nation CurrentSince May 23, 2024 Accepting new patients
Lynch Family Services LLC CurrentSince Sep 20, 2020 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients

Locations

333 W Main St
Ste 140
Ardmore, OK 73401
Phone (580) 224-2929

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

Interoperability endpoints

  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4

Organizations & group practices 4

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1467068098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST STE 140",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016321",
            "telephone_number": "580-224-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BRIARCREST DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101619",
            "telephone_number": "405-517-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUFFEE",
        "first_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.