Individual provider Active NPI

Kristianna Carswell

  • Counselor
  • Hugo, OK
National Provider Identifier
1801086236
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2816 E Jackson St
Hugo, OK 74743-4250
Phone
(580) 326-5350
NPI assigned
Aug 1, 2007
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2816 E Jackson St
Hugo, OK 74743-4250

Mailing address

PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830

Other names 1

  • Kristianna Beddo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021000204 OK Practitioner - Clinical Social Worker 5799217303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighter Heights Oklahoma LLCGroup PAC ID 5294031167, 2 clinicians

Practice addresses (Care Compare)

107 S High St
Antlers, OK 74523-3818
Phone (580) 298-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Heights Oklahoma, LLC Current Accepting new patients
Brighter Heights Oklahoma, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

107 S High St
Antlers, OK 74523
Phone (580) 298-2830

2816 E Jackson St
Hugo, OK 74743
Phone (580) 326-2155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1801086236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745231030",
            "telephone_number": "580-298-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434250",
            "telephone_number": "580-326-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSWELL",
        "first_name": "KRISTIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIANNA",
            "last_name": "BEDDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hugo, OK

Sources for this page

Verify at the official NPI Registry.