Active NPI
Kristen Kotsenburg
- Professional Counselor
- Midwest City, OK
National Provider Identifier
1780238527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2801 Parklawn Dr Ste 201
Midwest City, OK 73110-4229 - Phone
- (405) 733-5437
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2801 Parklawn Dr Ste 201
Midwest City, OK 73110-4229
Mailing address
9613 Lyric LN
Midwest City, OK 73130-6407
Phone (307) 640-6967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114099355 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1780238527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9613 LYRIC LN",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731306407",
"telephone_number": "307-640-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 PARKLAWN DR STE 201",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104229",
"telephone_number": "405-733-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTSENBURG",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114099355",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.