Active NPI
James Keith Carson, CADC
- Counselor
- Oklahoma City, OK
National Provider Identifier
1912237751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 300
- Practice address
- 301 W I 240 Service Rd
Oklahoma City, OK 73139-7701 - Phone
- (405) 604-9644
- Fax
- (405) 604-9689
- NPI assigned
- Dec 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 300 | OK | Primary |
Addresses
Primary practice location
301 W I 240 Service Rd
Oklahoma City, OK 73139-7701
Mailing address
4801 S Broadway PL
Oklahoma City, OK 73109-7524
Phone (405) 631-1872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300 | OK | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1912237751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S BROADWAY PL",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731097524",
"telephone_number": "405-631-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W I 240 SERVICE RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731397701",
"telephone_number": "405-604-9644",
"fax_number": "405-604-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "JAMES",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-29",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.