Active NPI 1881096824 Individual Practitioner Female Practitioner

Kimberly Lee

Counselor • Ada, OK

Professional Overview & Biography Verified Profile Summary

Kimberly Lee is a registered healthcare professional specializing in Counselor in Ada, OK. Practice services are available at 124 S BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 S Broadway Ave
Suite 402

Ada, OK 748205820

Telephone 5802350274

Fax 5802350277

Associated Practice Facility / Clinic

🏢 Tri-City Substance Abuse Center, Inc. Facility NPI 1245401413

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Ada, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 4.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

47 Specialists

Practicing in Ada, OK (4611 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Christopher Calaway

Case Manager/Care Coordinator

NPI 1164105359

Sean Dority

Case Manager/Care Coordinator

NPI 1235950932

Courtney Black , CASE MANAGEMENT

Case Manager/Care Coordinator

NPI 1255920088

CASEMANAGEMENT

Rhonda Taylor

Counselor

NPI 1326613969

Stacie Sullivan

Case Manager/Care Coordinator

NPI 1356116305

Crystal Kixmiller

Clinic/Center - Mental Health (Including Community Mental Health Center)

NPI 1417278557

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2016

Registered at 124 S BROADWAY AVE, SUITE 402, ADA, OK 748205820 (Tel: 5802350274)

📍

Updated Business Mailing Address May 31, 2016

Registered at 312 PAYTON PLACE LAKE HLS, ADA, OK 748204201 (Tel: 4055840403)

👤

Provider Name / Credentials Updated May 31, 2016

Recorded as KIMBERLY LEE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Counselor

🟢

Initial NPI Registration & Enumeration September 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881096824

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2014

Last Update: May 31, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

312 Payton Place Lake Hls

Ada, OK 748204201

Phone: 4055840403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.