Individual provider Active NPI

B. Gale Cliburn, MHR, LPC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1780754283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2473 Issued in OK
Practice address
13810 Crossing Way E
Edmond, OK 73013-4720
Phone
(405) 306-1883
Fax
(405) 475-1721
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2473 OK Primary

Addresses

Primary practice location

13810 Crossing Way E
Edmond, OK 73013-4720

Mailing address

PO Box 5613
Edmond, OK 73083-5613
Phone (405) 306-1883

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
2473OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cliburn Counseling, PLLC Past Accepting new patients
Cliburn Counseling and Support Services Past Accepting new patients

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780754283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5613",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835613",
            "telephone_number": "405-306-1883",
            "fax_number": "405-475-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CROSSING WAY E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134720",
            "telephone_number": "405-306-1883",
            "fax_number": "405-475-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIBURN",
        "first_name": "B.",
        "middle_name": "GALE",
        "name_prefix": "Ms.",
        "credential": "MHR, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.