DR. CHARLES MICHAEL KISSICK LADC, LPC, ICAADC
NPI 1972744639
Counselor in Guthrie, OK

Active since March 10, 2009
4000 E CHARTER OAK RD, GUTHRIE, OK 73044(405) 466-8155(405) 390-5668 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 5, 2024 (2 updates tracked since 2024).

About Dr. Charles Michael Kissick Ladc, Lpc, Icaadc NPPES

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

DR. CHARLES MICHAEL KISSICK LADC, LPC, ICAADC (NPI 1972744639) is an individual counselor in Guthrie, Oklahoma, licensed in Oklahoma (LPC04707) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1972744639
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDR. CHARLES MICHAEL KISSICKCredential: LADC, LPC, ICAADC
Location Address4000 E CHARTER OAK RDGuthrie, OK 73044-9350
Mailing Address4000 E Charter Oak RdGuthrie, OK 73044-9350 · (405) 466-8155 · Fax (866) 390-5668
Fax(405) 390-5668
Sole ProprietorYes
Enumeration DateMarch 10, 2009
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1972744639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OK · LPC04707
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 844 (OK)
4000 E CHARTER OAK RD, Guthrie, OK 73044

Other Providers at the Same Location NPPES 2

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

Case Manager/Care Coordinator
4000 E CHARTER OAK RD
GUTHRIE, OK 73044
Counselor (Professional)
4000 E CHARTER OAK RD
GUTHRIE, OK 73044

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 Charles Kissick's NPI number?

The NPI number for Charles Kissick is 1972744639. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Charles Kissick located?

Charles Kissick practices at 4000 E Charter Oak Rd, Guthrie, OK 73044. The listed phone number is (405) 466-8155.

What is Charles Kissick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Charles Kissick was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.