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MYSTERI KOSMICKI
NPI 1962214437
Peer Specialist in Ardmore, OK

Active since January 22, 2025
2007 N COMMERCE ST, ARDMORE, OK 73401(580) 223-5636(580) 226-6727 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mysteri Kosmicki NPPES

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

MYSTERI KOSMICKI (NPI 1962214437) is an individual peer specialist in Ardmore, Oklahoma and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1962214437
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMYSTERI KOSMICKI
Location Address2007 N COMMERCE STArdmore, OK 73401-1268
Mailing AddressPo Box 189Ardmore, OK 73402-0189 · (580) 319-7305 · Fax (580) 319-7328
Phone(580) 223-5636
Fax(580) 226-6727
Sole ProprietorNo
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1962214437 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.
2007 N COMMERCE ST, Ardmore, OK 73401
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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.

KOURTNEY FRENCH
Social Worker (Clinical)
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 226-5048
NATHANIEL GAUWITZ
Counselor (Mental Health)
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5636
BRAD T BROGDON LPC
Counselor (Professional)
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5636
TRICIA ANN BIVENS LPC
Counselor (Professional)
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 226-9388
TARA DAWN CAMPBELL LPC
Case Manager/Care Coordinator
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (802) 235-6365
MCKENNA ARAGON
Case Manager/Care Coordinator
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5636
KYRTLEIGH SNOW
Social Worker (Clinical)
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5636
SABRINA MCCLELLAN
Peer Specialist
2007 N COMMERCE ST
ARDMORE, OK 73401
Carter County (802) 235-6365

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 Mysteri Kosmicki's NPI number?

The NPI number for Mysteri Kosmicki is 1962214437. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Mysteri Kosmicki located?

Mysteri Kosmicki practices at 2007 N Commerce St, Ardmore, OK 73401. The listed phone number is (580) 223-5636.

What is Mysteri Kosmicki'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 Mysteri Kosmicki was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.