Individual provider Active NPI

Nicholas John Korff

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1487333605
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2617 General Pershing Blvd
Oklahoma City, OK 73107-6437
Phone
(405) 858-2700
NPI assigned
Jul 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Mailing address

7221 NW 111TH St
Oklahoma City, OK 73162-2766
Phone (405) 664-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20251112002905 OK Practitioner - Mental Health Counselor 4880185370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oklahoma County Mental Health CenterGroup PAC ID 6002701786, 17 clinicians

Practice addresses (Care Compare)

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437
Phone (405) 858-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11694OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Oklahoma County Mental Health Center Mental Health CurrentSince Oct 3, 2025 Accepting new patients

Locations

2617 General Pershing Blvd
Oklahoma City, OK 73107
Phone (405) 858-1700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1487333605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 NW 111TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622766",
            "telephone_number": "405-664-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 GENERAL PERSHING BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076437",
            "telephone_number": "405-858-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORFF",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.