Active NPI
Casey Jon Hucks, LPC
- Professional Counselor
- Thackerville, OK
National Provider Identifier
1467655381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2268
- Practice address
- 777 Casino Ave
Benefits Dept
Thackerville, OK 73459 - Phone
- (580) 272-5170
- Fax
- (580) 421-8772
- NPI assigned
- Jun 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2265 | OK | |
| Professional Counselor | 101YP2500X | 2268 | OK | Primary |
Addresses
Primary practice location
777 Casino Ave
Benefits Dept
Thackerville, OK 73459
Mailing address
210 E Main
Resource Management
Ada, OK 74820
Phone (580) 436-7211
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 |
|---|---|---|---|
| 2265 | OK | MD | Registered Dietitian |
| 2268 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467655381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E MAIN",
"address_2": "RESOURCE MANAGEMENT",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-7211",
"fax_number": "580-272-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CASINO AVE",
"address_2": "BENEFITS DEPT",
"city": "THACKERVILLE",
"state": "OK",
"postal_code": "73459",
"telephone_number": "580-272-5170",
"fax_number": "580-421-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKS",
"first_name": "CASEY",
"middle_name": "JON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2265",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thackerville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.