Individual provider Active NPI

Mackey Andrews Gammill

  • Mental Health Counselor
  • Ardmore, OK
National Provider Identifier
1922553304
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7784 Issued in OK
Practice address
15 Monroe St NE
Ardmore, OK 73401-2025
Phone
(580) 226-1838
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7784 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

15 Monroe St NE
Ardmore, OK 73401-2025

Mailing address

32997 N County Road 3250
Davis, OK 73030-9226
Phone (580) 369-8570

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

LicenseStateTypeSpecialty
7784OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Youth Services of Southern Oklahoma, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1922553304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32997 N COUNTY ROAD 3250",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730309226",
            "telephone_number": "580-369-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MONROE ST NE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012025",
            "telephone_number": "580-226-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMILL",
        "first_name": "MACKEY",
        "middle_name": "ANDREWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7784",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.