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MR. KITTAKONE SIRISOMBATH SR.
NPI 1124498068
Counselor - Mental Health in Oklahoma City, OK

Active since October 05, 2015
1805 NE 53RD ST, OKLAHOMA CITY, OK 73111(405) 476-8412 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kittakone Sirisombath Sr. NPPES

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

MR. KITTAKONE SIRISOMBATH SR. (NPI 1124498068) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1124498068
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KITTAKONE SIRISOMBATH SR.
Location Address1805 NE 53RD STOklahoma City, OK 73111-7011
Mailing Address1805 Ne 53rd StOklahoma City, OK 73111-7011 · (405) 476-8412
Phone(405) 476-8412
Sole ProprietorYes
Enumeration DateOctober 5, 2015
✔ NPI 1124498068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1805 NE 53RD ST, Oklahoma City, OK 73111
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Other Providers at the Same Location NPPES

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

MS. JENIFER JOYCE MCMILLIAN
Counselor (Mental Health)
1805 NE 53RD ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 476-8412

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 Kittakone Sirisombath's NPI number?

The NPI number for Kittakone Sirisombath is 1124498068. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Kittakone Sirisombath located?

Kittakone Sirisombath practices at 1805 NE 53rd St, Oklahoma City, OK 73111. The listed phone number is (405) 476-8412.

What is Kittakone Sirisombath's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kittakone Sirisombath was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.