MEDICARE: MICHAEL STEVEN NORTHCUTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1538668850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL STEVEN NORTHCUTT

Provider Business Mailing Address
First Line	:	124 E BOOMER ST
Second Line	:
City	:	LEXINGTON
State	:	OK
Zip	:	73051-8642
Country	:	US
Telephone Number	:	405-268-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 N BROADWAY ST STE 213
Second Line	:
City	:	MOORE
State	:	OK
Zip	:	73160-5135
Country	:	US
Telephone Number	:	405-990-0816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	02/02/2018

Similar Medicare Providers

1073789657 — CATHY MARIA BROWN MS
Practice Location Address:

201 N BROADWAY ST STE 213
MOORE, OK
73160-5135

Practice Phone: 405-990-0816
Practice Fax:

1316252976 — EVELYN L SEATON MSW, LCSW, ACSW
Practice Location Address:

201 N BROADWAY ST , SUITE 109
MOORE, OK
73160-5135

Practice Phone: 405-831-7791
Practice Fax: 405-759-2944

1063716496 — HOPE-JOY-PEACE COUNSELING SERVICES PLC
Practice Location Address:

201 N BROADWAY ST , SUITE 109
MOORE, OK
73160-5135

Practice Phone: 405-831-7791
Practice Fax: 405-759-2944

1811417249 — STACEY SCHINSKE LPC CANDIDATE
Practice Location Address:

201 N BROADWAY ST STE 100
MOORE, OK
73160-5135

Practice Phone: 405-990-0816
Practice Fax: 405-735-6116

1427544899 — AMBER FIELDS
Practice Location Address:

201 N BROADWAY ST
MOORE, OK
73160-5135

Practice Phone: 405-990-0816
Practice Fax:

1659853729 — JAMES EDMOND SMITH
Practice Location Address:

201 N BROADWAY ST STE 100
MOORE, OK
73160-5135

Practice Phone: 405-990-0816
Practice Fax:

Directions to “ MICHAEL STEVEN NORTHCUTT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.