Individual provider Active NPI

Kori Zibell

  • Counselor
  • Norman, OK
National Provider Identifier
1659656148
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3750 W Main St # 145
Norman, OK 73072-4657
Phone
(405) 850-5860
Fax
(405) 321-8581
NPI assigned
Oct 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

3750 W Main St # 145
Norman, OK 73072-4657

Mailing address

3750 W Main St # 145
Norman, OK 73072-4657
Phone (405) 850-5860

Other identifiers 1

IdentifierTypeStateIssuer
200437270AMedicaidOK

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
I20241011002909 OK Practitioner - Mental Health Counselor 2567994825 Practice locations: Norman, OK

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3750 W Main St
Norman, OK 73072-4657
Phone (405) 850-5860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1013OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kori Zibell PLLC PastSince Sep 1, 2024 Accepting new patients

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": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1659656148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST # 145",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724657",
            "telephone_number": "405-850-5860",
            "fax_number": "405-321-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST # 145",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724657",
            "telephone_number": "405-850-5860",
            "fax_number": "405-321-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIBELL",
        "first_name": "KORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.