Active NPI
B. Gale Cliburn, MHR, LPC
- Mental Health Counselor
- Edmond, OK
National Provider Identifier
1780754283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2473
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2473 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Edmond, OK
- NPI 1912159328
-
- Professional Counselor
- Oklahoma City, OK
- NPI 1841548526
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.