Individual provider Active NPI

Caitlyn Parker

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1780342402
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11195 Issued in OK
Practice address
5350 S Western Ave Ste 215
Oklahoma City, OK 73109-4525
Phone
(405) 518-0082
Fax
(888) 877-9894
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11195 OK Primary

Addresses

Primary practice location

5350 S Western Ave Ste 215
Oklahoma City, OK 73109-4525

Mailing address

5350 S Western Ave Ste 215
Oklahoma City, OK 73109-4525
Phone (405) 518-0082

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

LicenseStateTypeSpecialty
11195OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Oct 3, 2022 Accepting new patients
Mosaic Medbill LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

5350 S Western Ave
Ste 215
Oklahoma City, OK 73109
Phone (405) 518-0082

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1780342402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094525",
            "telephone_number": "405-518-0082",
            "fax_number": "888-877-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094525",
            "telephone_number": "405-518-0082",
            "fax_number": "888-877-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 6, 2025; 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.