Vickie Lynne Benton, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6645 Issued in OK

Practice address

920 S Main St
Stillwater, OK 74074-4634

Phone

(405) 385-9160

NPI assigned

Mar 8, 2011

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Vickie L Kile Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roadback Incorporated

  • Substance Abuse Rehabilitation Facility
  • Lawton, OK
  • NPI 1467470310
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1881992337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744634",
            "telephone_number": "405-385-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744634",
            "telephone_number": "405-385-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "VICKIE",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6645",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "KILE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiara Renae Benavides
• Kimberly Beninati, LPC-S
• Brenda Bennett
• Eric Michael Bennett
• Jason W Bennett, CRNA
• Mathew Arnold Berg, DMD
• Karolina Fransisca Sara Bernal
• Brandy Betancud
• Elizabeth Biernat, MD
• Lindsay Nicole Biggs

• Mental Health Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.