Charles T Dutton Jr., M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2529 S Kelly Ave Ste B
Edmond, OK 73013-2976

Phone

(405) 923-8922

NPI assigned

Jul 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1487216917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 DEL NORTE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035914",
            "telephone_number": "405-923-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S KELLY AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132976",
            "telephone_number": "405-923-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-04",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duque PLLC
• Ermilo S. Duque, B.S., D.C., F.A.S.A.
• Casandra Duran-Zavala
• Mary Frances Elizabeth Durham-Nelson, M.ED.
• Casey Marie Dutchik, APRN-CNP
• Jessica Anne Dutton, MSN, RN, APRN-CNP
• Kasey Shea Dutton
• Kristina Marie Duty, RD/LD
• Rick Dwiggins, NP
• Dynamic Medical Solutions

• Marriage & Family Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.