Active NPI
Kaitlyn Rose Rockwell
- Counselor
- Durant, OK
National Provider Identifier
1821780602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12523
- Practice address
- 1313 N 16TH Ave
Durant, OK 74701-2134 - Phone
- (918) 706-6956
- NPI assigned
- May 22, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12523 | OK | Primary |
Addresses
Primary practice location
1313 N 16TH Ave
Durant, OK 74701-2134
Mailing address
1605 W Arkansas St Unit 5
Durant, OK 74701-5635
Phone (918) 706-6956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13175 S Oak St
Glenpool, OK 74033-2323
1605 W Arkansas St
Unit 5
Durant, OK 74701-5635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12523 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1821780602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 W ARKANSAS ST UNIT 5",
"city": "DURANT",
"state": "OK",
"postal_code": "747015635",
"telephone_number": "918-706-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 N 16TH AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747012134",
"telephone_number": "918-706-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "KAITLYN",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "12523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.