MRS. KIM STANFORD
NPI 1194170134
Counselor 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: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 counselor 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 Taxonomy101Y00000X
Provider Legal NameMRS. KIM STANFORD
Location Address716 S 2ND ST # 1014Stilwell, OK 74960-4806
Mailing Address162 Alyene DrStilwell, OK 74960-3230 · (918) 575-2695
Fax(918) 696-6213
Sole ProprietorNo
Enumeration DateApril 27, 2016
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1194170134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OK · 06968
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.
716 S 2ND ST # 1014, Stilwell, OK 74960

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Counselor (Professional)
716 S 2ND ST # 1014
STILWELL, OK 74960
Peer Specialist
716 S 2ND ST # 1014
STILWELL, OK 74960
Peer Specialist
716 S 2ND ST # 1014
STILWELL, OK 74960
Case Manager/Care Coordinator
716 S 2ND ST # 1014
STILWELL, OK 74960

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 with taxonomy code 101Y00000X.

Is Kim Stanford enrolled in Medicare?

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

What insurance does Kim Stanford accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health 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 October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.