Active NPI
Kayla Renee Wright, LADC/MH
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1750734141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1319
- Practice address
- 4913 W Reno Ave
Oklahoma City, OK 73127-6339 - Phone
- (405) 948-4900
- NPI assigned
- Jul 20, 2016
- Last updated
- Dec 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1319 | OK | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1319 | OK | Primary |
Addresses
Primary practice location
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Mailing address
3139 SW 103Rd St
Oklahoma City, OK 73159-6041
Phone (405) 837-6681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200656680A | Medicaid | OK |
Other names 1
- Miss Kayla Renee Wright
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1319 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Wright Counseling, P.L.L.C. | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Moore, OK
- NPI 1194326637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1750734141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3139 SW 103RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596041",
"telephone_number": "405-837-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276339",
"telephone_number": "405-948-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KAYLA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LADC/MH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "1319",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "1319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200656680A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "WRIGHT",
"middle_name": "RENEE",
"prefix": "MISS",
"credential": "LADC CANDIDATE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.