Individual provider Active NPI

Linda Gillispie, LPC

  • Mental Health Counselor
  • Duncan, OK
National Provider Identifier
1811155294
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3306 Issued in OK
Practice address
1076 W Maple Ave
Duncan, OK 73533-4787
Phone
(580) 606-6719
Fax
(580) 606-6834
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3306 OK
Mental Health Counselor 101YM0800X 3306 OK Primary

Addresses

Primary practice location

1076 W Maple Ave
Duncan, OK 73533-4787

Mailing address

1076 W Maple Ave
Duncan, OK 73533-4787
Phone (580) 606-6719

Other practice location 1

2501 SW E Ave
Lawton, OK 73505-7320
Phone (580) 248-6450

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
3306OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Detty Youth & Family Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1811155294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W MAPLE AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334787",
            "telephone_number": "580-606-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W MAPLE AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334787",
            "telephone_number": "580-606-6719",
            "fax_number": "580-606-6834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 SW E Ave",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735057320",
            "country_code": "US",
            "telephone_number": "580-248-6450",
            "fax_number": "580-248-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLISPIE",
        "first_name": "LINDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3306",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.