Individual provider Active NPI

Vickie Staten-Ford

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1811318280
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC07072 Issued in OK
Practice address
9212 N Kelley Ave Ste 200
Oklahoma City, OK 73131-2419
Phone
(405) 242-5070
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC07072 OK Primary

Addresses

Primary practice location

9212 N Kelley Ave Ste 200
Oklahoma City, OK 73131-2419

Mailing address

9212 N Kelley Ave Ste 200
Oklahoma City, OK 73131-2419
Phone (405) 242-5070

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
I20240610001316 OK Practitioner - Mental Health Counselor 3678015336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11000 Optum Cir
Eden Prairie, MN 55344-2503

4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-8608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pathways Unlimited Inc CurrentSince Jan 8, 2026 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Jun 1, 2024 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

9212 N Kelley Ave
#200
Oklahoma City, OK 73131
Phone (405) 242-5070

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

4801 Gaillardia Pkwy
Ste 200
Oklahoma City, OK 73142
Phone (405) 456-0101

Organizations & group practices 3

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1811318280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 N KELLEY AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312419",
            "telephone_number": "405-242-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 N KELLEY AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312419",
            "telephone_number": "405-242-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEN-FORD",
        "first_name": "VICKIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC07072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.