Alice L. Caldwell, LBP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0227 Issued in OK

Practice address

301 E Main St
Suite 3
Wilburton, OK 74578-4415

Phone

(918) 465-0300

Fax

(918) 465-0300

NPI assigned

Mar 25, 2009

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

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

Medicare enrollment (NPD)

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.

• Eastern Sky Mental Health, Inc

  • Professional Counselor
  • Wilburton, OK
  • NPI 1871887703
  NPD (past) Authorized official
• Ahni Wakaya Counseling & Consulting Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilburton, OK
  • NPI 1407438930
  NPD

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1699917450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 SW 1060TH AVE",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745786746",
            "telephone_number": "918-916-9213",
            "fax_number": "918-465-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784415",
            "telephone_number": "918-465-0300",
            "fax_number": "918-465-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ALICE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LBP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "0227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Robert Bedford III, B.A.
• Tamra Lynn Bell
• Danielle J Bly
• Tammy Boling
• James Glen Brunson
• Alicia Caldwell
• Brianna Caldwell
• Celect Care Home Health Inc.
• Central Focus LLC
• Felecia Marie Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.