1. Home
  2. Directory
  3. Oklahoma
  4. Sallisaw
  5. Counselor
  6. NPI Profile

NICOLE MEDAK
NPI 1053299982
Counselor in Sallisaw, OK

Active since August 27, 2025
205 J T STITES BLVD, SALLISAW, OK 74955(918) 775-7787(918) 775-0328 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Medak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MEDAK (NPI 1053299982) is an individual counselor in Sallisaw, Oklahoma and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1053299982
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE MEDAK
Location Address205 J T STITES BLVDSallisaw, OK 74955-9323
Mailing Address19973 S 590 RdWelling, OK 74471-2411 · (253) 678-7098
Phone(918) 775-7787
Fax(918) 775-0328
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1053299982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
205 J T STITES BLVD, Sallisaw, OK 74955
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN EDWARDS
Counselor (Mental Health)
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
SAMANTHA RONAE BUMGUARDNER YOUTH SERVICE
Counselor
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
TINA ONEIL
Peer Specialist
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
PEOPLE INC. OF SEQUOYAH CO
Clinic/Center (Mental Health (Including Community Mental Health Center))
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
ABAGAIL PHILLIPS
Counselor
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
ALBIS RAMOS
Counselor (Mental Health)
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
OTT HUNTER
Counselor (Mental Health)
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
CALLY JANETTE JOHNSON
Counselor
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Medak's NPI number?

The NPI number for Nicole Medak is 1053299982. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Nicole Medak located?

Nicole Medak practices at 205 J T Stites Blvd, Sallisaw, OK 74955. The listed phone number is (918) 775-7787.

What is Nicole Medak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Nicole Medak was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.