Active NPI
Grey McKellar, MSW,LCSW
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1013243419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- H2889
- Practice address
- 1027 E 66TH PL
Tulsa, OK 74136-3701 - Phone
- (918) 492-8200
- Fax
- (918) 488-0940
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | H2889 | OK | Primary |
Addresses
Primary practice location
1027 E 66TH PL
Tulsa, OK 74136-3701
Mailing address
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Phone (918) 492-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H2889 | Other | OK | STATE OF OKLAHOMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2889 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1013243419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741334055",
"telephone_number": "918-492-8200",
"fax_number": "918-493-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 E 66TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741363701",
"telephone_number": "918-492-8200",
"fax_number": "918-488-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELLAR",
"first_name": "GREY",
"credential": "MSW,LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "H2889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OKLAHOMA",
"identifier": "H2889",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.