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YOONHEE NIKKI KANG
NPI 1528540721
Marriage & Family Therapist in Pryor, OK

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
109 N FAIRLAND ST, PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 11, 2019, Sep 4, 2018 (2 updates tracked since 2018).

About Yoonhee Nikki Kang NPPES

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

YOONHEE NIKKI KANG (NPI 1528540721) is an individual marriage & family therapist in Pryor, Oklahoma and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lawton, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528540721
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameYOONHEE NIKKI KANG
Location Address109 N FAIRLAND STPryor, OK 74361
Mailing Address109 N Fairland StPryor, OK 74361-4203 · (918) 825-1405 · Fax (918) 825-1406
Phone(918) 825-1405
Fax(918) 825-1406
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration
✔ NPI 1528540721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
109 N FAIRLAND ST, Pryor, OK 74361
Open in Google Maps ↗

Secondary Practice Location 1

Location 1602 SW 38th StLawton, OK 73505-6912 · Phone (580) 355-0072

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 and accepts Medicare assignment

Yoonhee Nikki Kang 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 ID1951844430
PECOS Enrollment IDI20240625002742
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 Reassignments

2

Medicare enrollment records show Yoonhee Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
109 N FAIRLAND ST
Pryor, OK 74361
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1063817021 (918) 825-1405
Sailor Health Medical PA
1,148 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 3 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333

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 20

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

KALI ROSE KERNS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
JACKIE ELAINE HORTON
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
WHITNEY JOANNA PHILLIPS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
BREANNA NICOLE COOK MHR, LPC-C
Counselor (Mental Health)
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1401
NICOLE BURNHAM LPN
Licensed Practical Nurse
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
STEPHANIE RENEE STACY
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841
CRYSTAL MICHELLE CUMMINS
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 825-1405
KANDICE BRIANS
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Mayes County (918) 273-1841

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 Yoonhee Kang's NPI number?

The NPI number for Yoonhee Kang is 1528540721. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Yoonhee Kang located?

Yoonhee Kang practices at 109 N Fairland St, Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Yoonhee Kang's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Yoonhee Kang enrolled in Medicare?

Yes. Yoonhee Kang 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.

Which organizations bill Medicare for Yoonhee Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yoonhee Kang reassigns Medicare benefits to 2 organizations: Grand Lake Mental Health Center, Inc. (Pryor, OK) and Sailor Health Medical PA (Coral Gables, FL). Each 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 Yoonhee Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yoonhee Kang 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 2 other insurers list Yoonhee Kang 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 Yoonhee Kang was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.