Active NPI
Toppie Lincicome, M.ED
- Professional Counselor
- Shawnee, OK
National Provider Identifier
1649416520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2144
- Practice address
- 2252 Gray Dove
Citizen Potawatomi Nation Clinic 2307 S. Gordon Cooper
Shawnee, OK 74804-2359 - Phone
- (405) 517-4255
- NPI assigned
- Dec 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2144 | OK | Primary |
Addresses
Primary practice location
2252 Gray Dove
Citizen Potawatomi Nation Clinic 2307 S. Gordon Cooper
Shawnee, OK 74804-2359
Mailing address
2252 Gray Dove
Shawnee, OK 74804-2359
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1649416520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 GRAY DOVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748042359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2252 GRAY DOVE",
"address_2": "CITIZEN POTAWATOMI NATION CLINIC 2307 S. GORDON COOPER",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748042359",
"telephone_number": "405-517-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCICOME",
"first_name": "TOPPIE",
"name_prefix": "Mr.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-26",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.