Johnny Cumberledge
Counselor • Ardmore, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Johnny Cumberledge has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Johnny Cumberledge was a registered Counselor practicing in Ardmore, OK. Throughout an active medical career spanning 6 years, Johnny Cumberledge provided care at the practice location at 1219 K ST NW until profile deactivation on 2020-05-08.
Practice Location & Contact Primary Location
1219 K St Nw
Ardmore, OK 734011801
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Ardmore, OK
Practicing in Ardmore, OK (4611 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Peer Specialist
Counselor - Mental Health
Peer Specialist
Counselor - Professional
MSLADC, Licensed Professional Counselor
Technician, Other
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 08, 2020
NPI status registered as active in NPPES database
Registered at 1219 K ST NW, ARDMORE, OK 734011801 (Tel: 5807984523)
Registered at PO BOX 181, MARIETTA, OK 734480181 (Tel: 5807984523)
Recorded as JOHNNY CUMBERLEDGE
Counselor
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
Mailing Address
Po Box 181
Marietta, OK 734480181
Phone: 5807984523
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