Active NPI
Diana J Colbaugh Gaylord, BA
- Mental Health Counselor
- Stroud, OK
National Provider Identifier
1689985277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2115 N Highway 99
Stroud, OK 74079-4754 - Phone
- (918) 605-9411
- NPI assigned
- Jun 29, 2010
- Last updated
- Jun 29, 2010
- Sex
- Female
- 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 | NU | Primary |
Addresses
Primary practice location
2115 N Highway 99
Stroud, OK 74079-4754
Mailing address
2115 N Highway 99
Stroud, OK 74079-4754
Phone (918) 605-9411
Other names 1
- Diana Colbaugh
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1689985277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 N HIGHWAY 99",
"city": "STROUD",
"state": "OK",
"postal_code": "740794754",
"telephone_number": "918-605-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 N HIGHWAY 99",
"city": "STROUD",
"state": "OK",
"postal_code": "740794754",
"telephone_number": "918-605-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBAUGH GAYLORD",
"first_name": "DIANA",
"middle_name": "J",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "COLBAUGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stroud, OK
- Brant Medical of Drumright, LLC
- Angela Gail Brixey, APRN
- Cylas Jerel Brooks, RN
- Sandra Delane Brown, PT
- Terri Mae Caton, P.T.
- Contemporary Enterprises, LTD. (Stroud Health Care Center South)
- Cornerstone Healthcare Agency LLC
- Danielle B Cory, APRN
- Johnathan Buhler Crabb, P.T.
- Creoks Mental Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.