Carissa Kemp, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

604 S 2ND St
McAlester, OK 74501-5814

Phone

(918) 302-0052

Fax

(918) 302-0082

NPI assigned

Aug 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carissa Day Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Stigler

  • Primary Care Clinic/Center
  • Stigler, OK
  • NPI 1184690026
  NPD
• Choctaw Nation Health Care System

  • General Acute Care Hospital
  • McAlester, OK
  • NPI 1023496080
  NPD (past)
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Broken Bow

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1982037479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 FALCON LN",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017324",
            "telephone_number": "918-424-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 2ND ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015814",
            "telephone_number": "918-302-0052",
            "fax_number": "918-302-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "CARISSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "DAY",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dannie Kelley
• Doris June Kelley
• Keely Kelley, MS, NCC
• Richard Don Kelley
• Linda Carel Kellum, MHR/BHRS
• Cindy J Kemp
• Jason Kemp, LPN
• Kennedy Eyecare LLC
• Craig Kennedy, OD
• Warren McKinley Kerby

• Professional Counselor in McAlester, OK
• Providers in McAlester, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.