Individual provider Active NPI

Ladonna Sue McCune, ED. D.

  • Addiction (Substance Use Disorder) Counselor
  • Stillwater, OK
National Provider Identifier
1801052097
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
379 Issued in OK
Practice address
801 S Main St
Suite 5
Stillwater, OK 74074-4642
Phone
(405) 372-0198
Fax
(405) 372-0283
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 379 OK Primary

Addresses

Primary practice location

801 S Main St
Suite 5
Stillwater, OK 74074-4642

Mailing address

801 S Main St
Suite 5
Stillwater, OK 74074-4642
Phone (405) 372-0198

Other identifiers 3

IdentifierTypeStateIssuer
100730950MedicaidOK
834OtherOKNATIONAL CERTIFIED GAMBLING COUNSELOR - L
379OtherOKSTATE OF OKLAHOMA ALCOHOL AND DRUG COUNSELORS LICENSURE BOARD

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
379OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Payne County Counseling Services, 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.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1801052097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744642",
            "telephone_number": "405-372-0198",
            "fax_number": "405-372-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744642",
            "telephone_number": "405-372-0198",
            "fax_number": "405-372-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "LADONNA",
        "middle_name": "SUE",
        "credential": "ED. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730950",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED GAMBLING COUNSELOR - L",
            "identifier": "834",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OKLAHOMA ALCOHOL AND DRUG COUNSELORS LICENSURE BOARD",
            "identifier": "379",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.