Constance Vernetta Alexander, M.A., LMFT
Individual provider Active NPI Marriage & Family Therapist · Tulsa, OK
NPI 1003070160 · NPPES record last updated Mar 10, 2014
Key facts
- NPI
- 1003070160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1044 (OK)
- Practice address
- 3015 E Skelly Dr
211-1
Tulsa, OK 74105-6317 - Phone
- (918) 884-8255
- Fax
- (918) 770-8871
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5126 S Wheeling Ave
Apt 203
Tulsa, OK 74105-6461
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4805
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250916002787 | OK | Practitioner - Marriage and Family Therapist | 8820592660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1044 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Current |
Accepting new patients | |
| Going Deeper Counseling Services | Past | Accepting new patients |
Locations
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1044 | OK | Yes |
Addresses
Primary practice location
3015 E Skelly Dr
211-1
Tulsa, OK 74105-6317
Mailing address
3015 E Skelly Dr
211-1
Tulsa, OK 74105-6317
Phone (918) 884-8255
Other providers in Tulsa, OK
- Tisha Dawn Alexander-Bradford
- Akhilesh Mathew Alexander
- Allison Alexander
- Arjane Alexander
- Breighleigh Alexander
- Danae Alexander
- Daniel Alexander
- Ember Alexander
- Helen Arlene Alexander
- Ivory Ann Alexander
All providers in Tulsa, OK · Marriage & Family Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.