MR. MARK DOUGLAS KINNISON M.ED, CRC,LPC
NPI 1134366396
Counselor - Professional in Tulsa, OK

Active since January 09, 2009
5773 W 1ST ST, TULSA, OK 74127(918) 241-6705 Get Directions Write a Review

NPPES record last updated: January 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Douglas Kinnison M.ed, Crc,lpc NPPES

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

MR. MARK DOUGLAS KINNISON M.ED, CRC,LPC (NPI 1134366396) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (3008) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1134366396
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK DOUGLAS KINNISONCredential: M.ED, CRC,LPC
Location Address5773 W 1ST STTulsa, OK 74127-5723
Mailing Address5773 W 1st StTulsa, OK 74127-5723 · (918) 241-6705
Sole ProprietorYes
Enumeration DateJanuary 9, 2009
NPI 1134366396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 3008
5773 W 1ST ST, Tulsa, OK 74127

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 Mark Kinnison's NPI number?

The NPI number for Mark Kinnison is 1134366396. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Mark Kinnison located?

Mark Kinnison practices at 5773 W 1st St, Tulsa, OK 74127. The listed phone number is (918) 241-6705.

What is Mark Kinnison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mark Kinnison was last updated on January 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.