Kimberly Jan Price

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1604 N Washington Ave
Durant, OK 74701-2128

Phone

(580) 920-0909

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Crossroads 1010 LLC

  • Community/Behavioral Health Agency
  • Antlers, OK
  • NPI 1174072482
  Medicare reassignment NPD

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1689953853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-920-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-920-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KIMBERLY",
        "middle_name": "JAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Powers, PA
• Premier Family Eye Care, PLLC
• Premier Family Life & Treatment Center, LLC
• Brittney Nicole Preston
• Lerran Elaine Preston
• Prince ABA Consulting
• Joyce Prock, LPC
• Providence Service Corporation of Oklahoma
• Providence Service Corporation of Oklahoma (Providence of Oklahom)
• Providence Service Corporation of Oklahoma

• Mental Health Counselor in Durant, OK
• Providers in Durant, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.