Kimberly Adine Archer
Individual provider Active NPI Counselor · Shawnee, OK
NPI 1538086160 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1538086160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1 W 10TH St
Shawnee, OK 74801-6801 - Phone
- (405) 275-2222
- Fax
- (405) 275-7740
- NPI assigned
- Jul 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Christian Counseling and Care PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes |
Addresses
Primary practice location
1 W 10TH St
Shawnee, OK 74801-6801
Mailing address
1620 N Market Ave
Shawnee, OK 74804-4416
Phone (405) 923-2284
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.