Individual provider Active NPI

Diana J Colbaugh Gaylord, BA

  • Mental Health Counselor
  • Stroud, OK
National Provider Identifier
1689985277
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2115 N Highway 99
Stroud, OK 74079-4754
Phone
(918) 605-9411
NPI assigned
Jun 29, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

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.

Verify at the official NPI Registry.