KRISTA M DOLL LLC (NPI# 1053851543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053851543 |
| Entity Type | Organization |
| Organization Name | KRISTA M DOLL LLC |
| Practice Address |
4816 Sw 129th St Oklahoma City OK 73173-8917 |
| Practice Telephone | 4056411084 |
| Mailing Telephone | 4056411084 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | KRISTA DOLL (OWNER) |
| Authorized Official Telephone | 4056411084 |
| Authorized Official Credential | M.ED., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6192 | OK | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6192 | OK | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 6192 | OK | Behavioral Health & Social Service Providers |
| Street Address |
4816 SW 129TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73173-8917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530676 | Timothy Scott Tidwell II | Nurse Practitioner | 12221 Heathfield Ln, Oklahoma City, OK 73173-7011 | 2018-06-02 |
| 1093190597 | Brittany Lee Hyde | Registered Nurse | 12105 Chesterfield Ln, Oklahoma City, OK 73173-7029 | 2015-07-25 |
| 1013316306 | Shawnda Jameson | Counselor | 7109 Sw 105th St, Oklahoma City, OK 73173-7724 | 2014-08-22 |
| 1790099505 | Jenni Dawn Hunt | Speech-Language Pathologist | 11133 Pamplona Way, Oklahoma City, OK 73173-8136 | 2010-08-04 |
| 1760706030 | Brandi Jo Ricketts | Counselor | 11417 Marbella Dr, Oklahoma City, OK 73173-8155 | 2010-03-16 |
| 1417310186 | Ebp & Me, LLC | Community/Behavioral Health | 5116 Sw 126th Pl, Oklahoma City, OK 73173-8821 | 2016-03-31 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1538606371 | Jeffery Blake Woods | Physical Therapist | 4821 Sw 130th St, Oklahoma City, OK 73173-8913 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1700487147 | Zackery R Devine | Physical Medicine & Rehabilitation | 1029 Ne 6th St Apt 331, Oklahoma City, OK 73117-1459 | 2020-11-03 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| Find all providers in OKLAHOMA CITY | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1215563077 | Beginning Steps | Counselor | 2709 S Magerus St, Oklahoma City, OK 73128-3215 | 2020-03-12 |
| 1932734431 | Debra Lynn Spears | Counselor | 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 | 2020-03-05 |
| 1659905024 | Ramona Martinez | Counselor | 2120 Sw 41st St, Oklahoma City, OK 73119-3614 | 2020-02-25 |
| 1699307058 | Caitlin Cox | Counselor | 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 | 2020-02-04 |
| 1760020283 | Casey Erin Marsh-shaevitz | Counselor | 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 | 2019-12-16 |
| 1255982229 | Kelli P Roland | Counselor | 1808 Ne 11th St, Oklahoma City, OK 73117-3606 | 2019-09-21 |
| 1609423979 | Shelia Macon | Counselor | 3309 Ne 18th St, Oklahoma City, OK 73121-2881 | 2019-08-21 |
| 1184285470 | Andrea Elura Clayton | Counselor | 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 | 2019-06-26 |
| 1578026779 | Jacquelyn Danielle Schoppa | Counselor | 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 | 2019-04-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73173 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.