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Charles Corbin Humble , MA, LPC

Counselor - Professional β€’ Bethany, OK

Active NPI 1982920583 Individual Practitioner Male Practitioner
Practice location in NPPES

3908 N Peniel Ave Ste 500
Bethany, OK 730083402

Call 4058087180 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3908 N Peniel Ave Ste 500

Bethany, OK 730083402

Telephone 4058087180
Organization at the Same NPPES Address or Phone
Cathy Wahkinney Lpc Llc Facility NPI 1629577093

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bethany and Oklahoma

25 active clinicians are listed under Counselor - Professional with a practice address in Bethany, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bethany

0% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OK 3981
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
200318120A (OK)
Medicaid ID
200318120B (OK)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location January 28, 2019

Registered at 3908 N PENIEL AVE STE 500, BETHANY, OK 730083402 (Tel: 4053061968)

πŸ“
Updated Business Mailing Address January 28, 2019

Registered at 3908 N PENIEL AVE STE 500, BETHANY, OK 730083402 (Tel: 4053061968)

βœ…
NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 26, 2017

Registered at 2000 SONOMA PARK DR, EDMOND, OK 730132092 (Tel: 4053061968)

πŸ“
Updated Business Mailing Address January 26, 2017

Registered at PO BOX 1633, BETHANY, OK 730081633 (Tel: 4053061968)

πŸ‘€
Provider Name / Credentials Updated January 26, 2017

Recorded as CHARLES HUMBLE, MA, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Counselor (license number reported to NPPES: OK 3981)

βœ…
NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 19, 2016

Registered at 8113 SUNKIST LN, BETHANY, OK 730083068 (Tel: 4053061968)

πŸ“
Business Mailing Address (Initial Record) April 19, 2016

Registered at 8113 SUNKIST LN, BETHANY, OK 730083068 (Tel: 4053061968)

πŸ‘€
Provider Name / Credentials (Initial Record) April 19, 2016

Recorded as CHARLES HUMBLE, MA, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2016

Counselor (license number reported to NPPES: OK 3981)

🟒
Initial NPI Registration & Enumeration April 08, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982920583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2010
Last Update: July 04, 2019
Sole Proprietor: Yes

Mailing Address

3908 N Peniel Ave Ste 500

Bethany, OK 730083402

Phone: 4058087180

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.