Organization Active NPI

Robert W. McKelvy, LPC PLLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1891074209
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3471 Issued in OK
Legal business name
ROBERT W. MCKELVY, LPC PLLC
Practice address
5300 W Memorial Rd
4F
Oklahoma City, OK 73142-2029
Phone
(405) 570-1066
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Mr. Robert William McKelvy, LPC
Title
Clinical Director/Owner
Phone
(405) 570-1066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3471 OK
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3471 OK Primary

Addresses

Primary practice location

5300 W Memorial Rd
4F
Oklahoma City, OK 73142-2029

Mailing address

5300 W Memorial Rd
4F
Oklahoma City, OK 73142-2029
Phone (405) 570-1066

Other names 1

  • FAMILY THERAPY INSTITUTE NORTH Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1891074209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W MEMORIAL RD",
            "address_2": "4F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422029",
            "telephone_number": "405-570-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W MEMORIAL RD",
            "address_2": "4F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422029",
            "telephone_number": "405-570-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. MCKELVY, LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "MCKELVY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "405-570-1066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3471",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY THERAPY INSTITUTE NORTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.