Kaitlyn Marie Kipps
Individual provider Active NPI Professional Counselor · Seminole, OK
NPI 1982107645 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1982107645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 609 E Wrangler Blvd
Seminole, OK 74868-2640 - Phone
- (405) 380-5033
- NPI assigned
- Mar 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | ||
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
609 E Wrangler Blvd
Seminole, OK 74868-2640
Mailing address
609 E Wrangler Blvd
Seminole, OK 74868-2640
Phone (405) 380-5033
Other names
- Kaitlyn Marie Goodson
Other providers in Seminole, OK
- David Wendell Keck
- Bailey Keesee
- Carissa Nicole Kelley
- Randall Leon Kemp
- Stephanie Marie Killian
- Rachel Lea Kolander
- Amanda Lauren Kuehner
- Jeannerosa Depaz Lay
- Lawena Irene Lee
- Lighthouse Behavioral Wellness Centers
All providers in Seminole, OK · Professional 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 Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.