Active NPI
Rickey Edwin Watts, CM-A RSS
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1598979932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6312
- Practice address
- 4436 NW 50TH St
Oklahoma City, OK 73112-2212 - Phone
- (405) 810-9578
- Fax
- (405) 810-9597
- NPI assigned
- May 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6312 | OK | Primary |
Addresses
Primary practice location
4436 NW 50TH St
Oklahoma City, OK 73112-2212
Mailing address
1126 NW 47TH St
Oklahoma City, OK 73118-5231
Phone (405) 601-9507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6312 | Other | OK | CASE MANAGMENT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598979932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 NW 47TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185231",
"telephone_number": "405-601-9507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122212",
"telephone_number": "405-810-9578",
"fax_number": "405-810-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "RICKEY",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "CM-A RSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "6312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANAGMENT",
"identifier": "6312",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.