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

Mr. Kittakone Sirisombath Sr.

Individual provider Mental Health Counselor · NPI 1124498068

Mr. Kittakone Sirisombath Sr. is a Mental Health Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1805 NE 53rd St
Oklahoma City, OK 73111-7011
Phone: (405) 476-8412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1124498068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 5, 2015
Last updated in NPPESOctober 5, 2015

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