MR. BOBBY J BUCKALOO LPC
NPI 1265701411
Counselor - Mental Health in Kingston, OK

Active since December 16, 2011PECOS EnrolledAccepts Medicare Assignment
17200 MCGAHEY RD, KINGSTON, OK 73439(580) 564-6034 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Bobby J Buckaloo Lpc NPPES

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

MR. BOBBY J BUCKALOO LPC (NPI 1265701411) is an individual mental health provider in Kingston, Oklahoma, licensed in Oklahoma (LPC5878) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265701411
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BOBBY J BUCKALOOCredential: LPC
Location Address17200 MCGAHEY RDKingston, OK 73439-5530
Mailing Address17200 Mcgahey RdKingston, OK 73439-5530 · (580) 564-6034
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 16, 2011
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
NPI 1265701411 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 · LPC5878
17200 MCGAHEY RD, Kingston, OK 73439

Other Names 1

Professional Name (2)Bj Buckaloo

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 and accepts Medicare assignment

Mr. Bobby J Buckaloo Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092259457
PECOS Enrollment IDI20240627000539
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.

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 Bobby Buckaloo's NPI number?

The NPI number for Bobby Buckaloo is 1265701411. It was assigned to this individual provider in the NPPES registry on December 16, 2011. The provider is also known as Bj Buckaloo.

Where is Bobby Buckaloo located?

Bobby Buckaloo practices at 17200 Mcgahey Rd, Kingston, OK 73439. The listed phone number is (580) 564-6034.

What is Bobby Buckaloo's specialty?

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

Is Bobby Buckaloo enrolled in Medicare?

Yes. Bobby Buckaloo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bobby Buckaloo accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Oscar Insurance Company and UnitedHealthcare list Bobby Buckaloo 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 Bobby Buckaloo was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.