KENNETH REX HEDDLESTEN LPC
NPI 1164640249
Counselor - Professional in Anadarko, OK

Q: What is Kenneth Heddlesten's NPI number?

The NPI number for Kenneth Heddlesten is 1164640249. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Kenneth Heddlesten's specialty?

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

Active since April 23, 2007

102 E BROADWAY ST, ANADARKO, OK 73005(405) 247-9777(405) 247-9778 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Rex Heddlesten Lpc NPPES

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

KENNETH REX HEDDLESTEN LPC (NPI 1164640249) is an individual professional provider in Anadarko, Oklahoma, licensed in Oklahoma (1961) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164640249

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKENNETH REX HEDDLESTENCredential: LPC

Location Address102 E BROADWAY STAnadarko, OK 73005-2824

Mailing Address102 E Broadway StAnadarko, OK 73005-2824 · (405) 247-9777 · Fax (405) 247-9778

Phone(405) 247-9777

Fax(405) 247-9778

Sole ProprietorNo

Enumeration DateApril 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164640249 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 · 1961

102 E BROADWAY ST, Anadarko, OK 73005

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Other Identifiers 1

Other1961OK · Lpc Number

Other Providers at the Same Location NPPES 3

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

MS. ERLINDA MILLER

Peer Specialist

102 E BROADWAY ST
ANADARKO, OK 73005

Caddo County (405) 247-5437

NATHAN CHASE WIDENER

Counselor (Addiction (Substance Use Disorder))

102 E BROADWAY ST
ANADARKO, OK 73005

Caddo County (405) 247-5437

SOUTHWEST YOUTH AND FAMILY SERVICES, INC.

Community/Behavioral Health

102 E BROADWAY ST
ANADARKO, OK 73005

Caddo County (405) 247-9777

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 Kenneth Heddlesten's NPI number?

The NPI number for Kenneth Heddlesten is 1164640249. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Kenneth Heddlesten located?

Kenneth Heddlesten practices at 102 E Broadway St, Anadarko, OK 73005. The listed phone number is (405) 247-9777.

What is Kenneth Heddlesten'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 Kenneth Heddlesten was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.