Active NPI
Kristen Hurlbert, MSW, LCSW
- Clinical Social Worker
- Miami, OK
National Provider Identifier
1790091171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4161
- Practice address
- 21 N Eight Tribes TRL Ste B
Miami, OK 74354-1010 - Phone
- (918) 418-0201
- NPI assigned
- Aug 24, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05942 | KS | |
| Clinical Social Worker | 1041C0700X | 2010028026 | MO | |
| Clinical Social Worker | 1041C0700X | 4161 | OK | Primary |
Addresses
Primary practice location
21 N Eight Tribes TRL Ste B
Miami, OK 74354-1010
Mailing address
21 N Eight Tribes TRL Ste B
Miami, OK 74354-1010
Phone (918) 418-0201
Other names 1
- Kristen Johnson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4161 | OK | MD | Counselor |
| 05942 | KS | MD | Clinical Social Worker |
| 2010028026 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Miami, OK
- NPI 1306854245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1790091171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 N EIGHT TRIBES TRL STE B",
"city": "MIAMI",
"state": "OK",
"postal_code": "743541010",
"telephone_number": "918-418-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N EIGHT TRIBES TRL STE B",
"city": "MIAMI",
"state": "OK",
"postal_code": "743541010",
"telephone_number": "918-418-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLBERT",
"first_name": "KRISTEN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05942",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2010028026",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "4161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "JOHNSON",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.