Gillispie Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5018 Issued in OK

Legal business name

GILLISPIE COUNSELING SERVICES

Practice address

23 N 8TH St
Duncan, OK 73533-4601

Phone

(580) 606-6577

Fax

(855) 253-2083

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Tracie Gillispie, LPCNPI 1194028183

Title

Director

Phone

(405) 437-4497

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Gillispie, LPC CAND.

  • Professional Counselor
  • Duncan, OK
  • NPI 1194028183
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1851702252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N 8TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334601",
            "telephone_number": "405-437-4497",
            "fax_number": "855-253-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N 8TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334601",
            "telephone_number": "580-606-6577",
            "fax_number": "855-253-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLISPIE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "GILLISPIE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-437-4497",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200539560",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracie@gillispiecounseling.com",
            "affiliation": "N",
            "address_1": "23 N 8th St",
            "city": "Duncan",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735334601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Gibbon, DPM
• Angela Lynn Gibbons, PHYSICIAN ASSISTANT
• Gilbreth Family Medicine, PLLC
• Judith Marie Gilbreth, M.D.
• Jacqueline L Gillespie, ARNP
• Gillispie Family Ministries
• Allon Gillispie, DO
• Linda Gillispie, LPC
• Steven Allon Gillispie
• Tracie Gillispie, LPC CAND.

• Community/Behavioral Health Agency in Duncan, OK
• Providers in Duncan, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.