KIMBERLY S PETTY M.S.
NPI 1881842870
Counselor - Mental Health in Owasso, OK

Q: What is Kimberly Petty's NPI number?

The NPI number for Kimberly Petty is 1881842870. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Q: What is Kimberly Petty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Petty was last updated on December 14, 2023. 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.

Active since September 03, 2008PECOS Enrolled

10310 N 138TH EAST AVE STE 201, OWASSO, OK 74055(918) 520-1202(918) 340-6383 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Feb 29, 2016 (2 updates tracked since 2016).

On this page

About Kimberly S Petty M.s. NPPES

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

KIMBERLY S PETTY M.S. (NPI 1881842870) is an individual mental health provider in Owasso, Oklahoma and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881842870

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY S PETTYCredential: M.S.

Location Address10310 N 138TH EAST AVE STE 201Owasso, OK 74055-4641

Mailing Address10310 N 138th East Ave Ste 201Owasso, OK 74055-4641 · (918) 520-1202 · Fax (918) 340-6383

Phone(918) 520-1202

Fax(918) 340-6383

Sole ProprietorNo

Enumeration DateSeptember 3, 2008

Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1881842870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

10310 N 138TH EAST AVE STE 201, Owasso, OK 74055

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Other Identifiers 1

Medicaid1881842870OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.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)

Kimberly S Petty M.s. 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 5

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

MISTY COOPER LPC-S

Counselor (Mental Health)