Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Fred Lee McGinn IV

Individual provider Counselor · NPI 1336467299

Mr. Fred Lee McGinn IV is a Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

14836 Gambels Trail Dr
Oklahoma City, OK 73134-5226
Phone: (405) 509-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 4800 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1003 (OK)
Counselor Taxonomy 101Y00000X

Record details

NPI number1336467299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2010
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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