Charles Michael Kissick, LADC, LPC, ICAADC
NPI 1972744639ActiveIndividual· Counselor· Guthrie, OK
Counselor (LADC, LPC, ICAADC) in Guthrie, Oklahoma, licensed in OK, with an NPI issued in March 2009.
Overview
| NPI | 1972744639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LADC, LPC, ICAADC |
| Sole proprietor | Yes |
| NPI issued | Mar 10, 2009 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LPC04707 | OK |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 844 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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