Bethany Mae Kacirek, LPC-C, LADCMH-C

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1640 W Keetoowah St
Tahlequah, OK 74464-3497

Phone

(918) 708-9009

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1871357541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643497",
            "telephone_number": "918-708-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643497",
            "telephone_number": "918-708-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACIREK",
        "first_name": "BETHANY",
        "middle_name": "MAE",
        "credential": "LPC-C, LADCMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Kay Jones
• Tanya P Jones
• Jana L. Jordan, D.O.
• Kimberly Ann Jumper-Brown, BA, EARLY CHILDHOOD
• Arlow Kyle Jumper
• Jeesoo Daniel Kang, DO
• Prashant Kaushik, MD
• Levi Taylor Keehler, M.S., LPC, LADC, CPS
• Chase Anthony Keene
• Keetoowah Healthcare Services, LLC

• Counselor in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.