Alicia Ann Cummings

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

827 E Hubbard Rd
Ponca City, OK 74601-1073

Phone

(580) 762-3224

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• White Eagle Health Center

  • Clinic/Center
  • Ponca City, OK
  • NPI 1699875724
  Medicare reassignment NPD
• White Eagle Health Center

  • Substance Abuse Rehabilitation Facility
  • Ponca City, OK
  • NPI 1265271910
  NPD
• Bridgeway

  • Case Manager/Care Coordinator
  • Ponca City, OK
  • NPI 1770921512
  NPD (past)
• Bridgeway, Inc.

  • Substance Abuse Rehabilitation Facility
  • Ponca City, OK
  • NPI 1093930497
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1760041818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E HUBBARD RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011073",
            "telephone_number": "580-762-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E HUBBARD RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011073",
            "telephone_number": "580-762-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creoks Behavioral Health Services
• Kyrie D Crippen, LPC
• Croas1 LLC
• Joanna Crow, MS, ATC, LAT
• Carrie Culver
• Eric P Cunningham
• Tamra Lynn Cunningham
• Duane Dagenais
• Heather Daniel
• Davis Chiropractic Clinic, P. C.

• Counselor in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.