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MRS. KIM STANFORD
NPI 1194170134
Counselor - Mental Health in Stilwell, OK

Active since April 27, 2016PECOS Enrolled
716 S 2ND ST # 1014, STILWELL, OK 74960(919) 696-6212(918) 696-6213 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kim Stanford NPPES

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

MRS. KIM STANFORD (NPI 1194170134) is an individual mental health provider in Stilwell, Oklahoma, licensed in Oklahoma (06968) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194170134
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIM STANFORD
Location Address716 S 2ND ST # 1014Stilwell, OK 74960-4806
Mailing Address162 Alyene DrStilwell, OK 74960-3230 · (918) 575-2695
Phone(919) 696-6212
Fax(918) 696-6213
Sole ProprietorNo
Enumeration DateApril 27, 2016
Last NPPES UpdateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1194170134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 06968
716 S 2ND ST # 1014, Stilwell, OK 74960
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim Stanford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kim Stanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creoks Mental Health Services
Same address
Community/Behavioral Health
716 S 2ND ST STE 101
Stilwell, OK 74960
  • Reassigned Medicare billing, Oklahoma enrollment
  • 77 clinicians in this Medicare group
NPI 1225333826 (918) 346-7464

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

ELIZABETH ROSE DREADFULWATER LPC-C
Counselor (Professional)
716 S 2ND ST # 1014
STILWELL, OK 74960
Adair County (918) 696-6212
STEPHANIE L KILLOUGH
Peer Specialist
716 S 2ND ST # 1014
STILWELL, OK 74960
Adair County (918) 696-6212
BUFFIE JO SELLS
Peer Specialist
716 S 2ND ST # 1014
STILWELL, OK 74960
Adair County (918) 696-6212
MS. SAMMI COPELAND
Case Manager/Care Coordinator
716 S 2ND ST # 1014
STILWELL, OK 74960
Adair County (918) 696-6212

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 Kim Stanford's NPI number?

The NPI number for Kim Stanford is 1194170134. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Kim Stanford located?

Kim Stanford practices at 716 S 2nd St # 1014, Stilwell, OK 74960. The listed phone number is (919) 696-6212.

What is Kim Stanford's specialty?

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

Is Kim Stanford enrolled in Medicare?

Yes. Kim Stanford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Stanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Stanford reassigns Medicare benefits to Creoks Mental Health Services (Stilwell, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Stanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Stanford accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kim Stanford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Stanford was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.