Lucretia Fay McDonald

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

104 NE Ave a
Idabel, OK 74745-3813

Phone

(580) 286-3301

Fax

(580) 286-6385

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kiamichi Council on Alcohoism and Other Drug Abuse Inc.

  • Case Management Agency
  • Idabel, OK
  • NPI 1467990721
  NPD (past)
• Kiamichi Council on Alcoholism and Or Other Drug Abuse, Inc.

  • Community/Behavioral Health Agency
  • Idabel, OK
  • NPI 1407972847
  NPD (past)

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": "1699054841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 229-1",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747459427",
            "telephone_number": "580-212-7610",
            "fax_number": "580-286-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NE AVE A",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453813",
            "telephone_number": "580-286-3301",
            "fax_number": "580-286-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LUCRETIA",
        "middle_name": "FAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCurtain Memorial Medical Management, Inc.
• McCurtain Memorial Medical Management, Inc.
• McCurtain Memorial Medical Management, Inc.
• McCurtain Memorial Medical Management, Inc.
• Braylee McDaniel
• Lana McElroy
• Med Southwest PLLC
• Kelly Meredith
• Lisa Meredith, MBS, LPC, LADC
• Elizabeth R Messick, BHRS

• Addiction (Substance Use Disorder) Counselor in Idabel, OK
• Providers in Idabel, OK by specialty
• Addiction (Substance Use Disorder) 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.