Individual provider Active NPI

Michael Wayne Quiroz, MS, LPC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1013119809
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
04600 Issued in OK
Practice address
10906 E 25TH St
Tulsa, OK 74129-5018
Phone
(918) 833-0171
NPI assigned
Jun 4, 2007
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 04600 OK Primary
Mental Health Counselor 101YM0800X 10030 OK

Addresses

Primary practice location

10906 E 25TH St
Tulsa, OK 74129-5018

Mailing address

10906 E 25TH St
Tulsa, OK 74129-5018
Phone (918) 833-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522000262 OK Practitioner - Mental Health Counselor 5395187462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
04600OKMDMental Health Counselor
10030OKMDMental Health Counselor
4600OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Dawn Counseling Services LLC Mental Health CurrentSince May 7, 2024 Accepting new patients
Improving Lives Counseling Services, Inc. CurrentSince Jan 10, 2025 Accepting new patients

Locations

2227 S Garnett Rd
Ste 106
Tulsa, OK 74129
Phone (918) 409-9677

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1013119809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 E 25TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295018",
            "telephone_number": "918-833-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10906 E 25TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295018",
            "telephone_number": "918-833-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "04600",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.