Cynthia Pickens

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

777 Casino Ave
Thackerville, OK 73459-9774

Phone

(580) 272-5170

NPI assigned

Feb 21, 2014

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

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.

• Chickasaw Nation - Family Services

  • Professional Counselor
  • Ada, OK
  • NPI 1588968275
  NPD (past)
• Community Youth Services of Southern Oklahoma, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Ardmore, OK
  • NPI 1003949439
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1699190074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOPPE BLVD STE 1",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202319",
            "telephone_number": "580-436-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CASINO AVE",
            "city": "THACKERVILLE",
            "state": "OK",
            "postal_code": "734599774",
            "telephone_number": "580-272-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainey Jo Hitt, RN
• Casey Jon Hucks, LPC
• Red River Valley Health PLLC
• Thackerville Medical Clinic
• Thackerville Pharmacy
• Thackerville Public Schools

• Professional Counselor in Thackerville, OK
• Providers in Thackerville, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.