Kimberly Dawn Sawyer, PHD, LMFT
Individual provider Active NPI Mental Health Counselor · Wilson, OK
NPI 1942517040 · NPPES record last updated May 11, 2024
Key facts
- NPI
- 1942517040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2770 Midway Rd
Wilson, OK 73463-6391 - Phone
- (979) 221-8217
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240308000315 | OK | Practitioner - Marriage and Family Therapist | 4688019219 | Practice locations: Wilson, OK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204240 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2770 Midway Rd
Wilson, OK 73463-6391
Mailing address
2770 Midway Rd
Wilson, OK 73463-6391
Phone (979) 221-8217
Other providers in Wilson, OK
- Hammons Hometown Health Clinic LLC
- Mercy Health Network of the Southern Region, Inc.
- Kimberly Dawn Powell
- April M Sanders
- Sawyer Therapy Services
- Wilson Public School
- Susan Renee Youngblood
All providers in Wilson, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.