Provider Demographics
NPI:1891889499
Name:KAUPKE, WHITNEY (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:KAUPKE
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 S HARR DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3049
Mailing Address - Country:US
Mailing Address - Phone:405-818-8364
Mailing Address - Fax:405-293-9047
Practice Address - Street 1:2905 S HARR DR
Practice Address - Street 2:STE 102
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110
Practice Address - Country:US
Practice Address - Phone:405-818-8364
Practice Address - Fax:405-293-9047
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
OK1814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)