KRISTOPHER LEE BUTLER
NPI 1417445511
Peer Specialist in Ponca City, OK

Active since April 25, 2018
620 W GRAND AVE, PONCA CITY, OK 74601(580) 762-1462(580) 657-7299 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristopher Lee Butler NPPES

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

KRISTOPHER LEE BUTLER (NPI 1417445511) is an individual peer specialist in Ponca City, Oklahoma and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1417445511
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKRISTOPHER LEE BUTLER
Location Address620 W GRAND AVEPonca City, OK 74601-5123
Mailing Address620 W Grand AvePonca City, OK 74601-5123 · (580) 762-1462
Fax(580) 657-7299
Sole ProprietorYes
Enumeration DateApril 25, 2018
NPI 1417445511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
620 W GRAND AVE, Ponca City, OK 74601

Other Providers at the Same Location NPPES 20

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

Peer Specialist
620 W GRAND AVE
PONCA CITY, OK 74601
Counselor (Addiction (Substance Use Disorder))
620 W GRAND AVE
PONCA CITY, OK 74601
Case Manager/Care Coordinator
620 W GRAND AVE
PONCA CITY, OK 74601
Peer Specialist
620 W GRAND AVE
PONCA CITY, OK 74601
Peer Specialist
620 W GRAND AVE
PONCA CITY, OK 74601
Substance Abuse Rehabilitation Facility
620 W GRAND AVE
PONCA CITY, OK 74601
Counselor (Addiction (Substance Use Disorder))
620 W GRAND AVE
PONCA CITY, OK 74601
Case Manager/Care Coordinator
620 W GRAND AVE
PONCA CITY, OK 74601

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 Kristopher Butler's NPI number?

The NPI number for Kristopher Butler is 1417445511. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Kristopher Butler located?

Kristopher Butler practices at 620 W Grand Ave, Ponca City, OK 74601. The listed phone number is (580) 762-1462.

What is Kristopher Butler's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kristopher Butler was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.