Individual provider Active NPI

Karlynn McCarrell

  • Counselor
  • Norman, OK
National Provider Identifier
1699072025
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1110 W Main St # 12
Norman, OK 73069-6923
Phone
(405) 423-7948
NPI assigned
Feb 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

1110 W Main St # 12
Norman, OK 73069-6923

Mailing address

4220 Red Apple Ter
Moore, OK 73160-4020

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
I20240122000452 OK Practitioner - Mental Health Counselor 1254783673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Public Health, LLC CurrentSince Jul 19, 2021 Accepting new patients

Locations

3750 W Main St
Ste Aa
Norman, OK 73072
Phone (405) 473-0317

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": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1699072025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 RED APPLE TER",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W MAIN ST # 12",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696923",
            "telephone_number": "405-423-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRELL",
        "first_name": "KARLYNN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-21",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.