NPIMap

Organization Active NPI

Center for Psychological Development, Inc.

  • Mental Health Counselor
  • Durant, OK
National Provider Identifier
1831409440
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTER FOR PSYCHOLOGICAL DEVELOPMENT, INC.
Practice address
1312 N 1St Ave
Durant, OK 74701-2810
Phone
(580) 920-2069
Fax
(580) 920-1010
NPI assigned
Oct 15, 2010
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Mr. Stacey L Gibson, MBS, LPC-SNPI 1346448669
Title
Ceo/Co-Owner
Phone
(580) 920-2069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1312 N 1St Ave
Durant, OK 74701-2810

Mailing address

1312 N 1St Ave
Durant, OK 74701-2810
Phone (580) 920-2069

Other practice location 1

106 S 3rd St
McAlester, OK 74501-5300
Phone (918) 421-8880

Other practice location 2

804 S Broadway St
Poteau, OK 74953-3834
Phone (918) 647-9629

Other practice location 3

563 W 13th St
Atoka, OK 74525-3708
Phone (580) 364-0606

Other practice location 4

1105 Memorial Dr Ste 202
Denison, TX 75020-2043
Phone (903) 337-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110415000717 TX Part B Supplier - Clinic/Group Practice 5395929384 Receives reassigned benefits from 6 practitioners
Practice locations: Denison, TX
O20181020000086 OK Part B Supplier - Clinic/Group Practice 5395929384 Receives reassigned benefits from 35 practitioners
Practice locations: Atoka, OK; Durant, OK; McAlester, OK; Poteau, OK

National Provider Directory

National Provider Directory

Locations

563 W 13th St
Atoka, OK 74525
Phone (580) 364-0606

1312 N 1st Ave
Durant, OK 74701
Phone (580) 920-2069

142 W Main St
Durant, OK 74701
Phone (580) 745-9470

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1831409440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "580-920-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012810",
            "telephone_number": "580-920-2069",
            "fax_number": "580-920-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745015300",
            "country_code": "US",
            "telephone_number": "918-421-8880",
            "fax_number": "918-421-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Poteau",
            "state": "OK",
            "postal_code": "749533834",
            "country_code": "US",
            "telephone_number": "918-647-9629",
            "fax_number": "918-649-0136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "563 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "OK",
            "postal_code": "745253708",
            "country_code": "US",
            "telephone_number": "580-364-0606",
            "fax_number": "580-364-0866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Memorial Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750202043",
            "country_code": "US",
            "telephone_number": "903-337-0343",
            "fax_number": "903-337-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/CO-OWNER",
        "authorized_official_telephone_number": "580-920-2069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBS, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.