NPIMap

Organization Active NPI

Abundant Grace Counseling Services, LLC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1023369642
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ABUNDANT GRACE COUNSELING SERVICES, LLC
Practice address
2448 E 81St St Ste 5125
Tulsa, OK 74137-4213
Phone
(918) 392-7875
Fax
(800) 260-7966
NPI assigned
Sep 21, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Mrs. Analisa Nieto Pena, LPC CANDIDATENPI 1326379074
Title
Ceo
Phone
(918) 269-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2448 E 81St St Ste 5125
Tulsa, OK 74137-4213

Mailing address

2448 E 81St St Ste 5125
Tulsa, OK 74137-4213
Phone (918) 392-7875

National Provider Directory

National Provider Directory

Locations

2448 E 81st St
Ste 5125
Tulsa, OK 74137
Phone (918) 392-7875

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1023369642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374213",
            "telephone_number": "918-392-7875",
            "fax_number": "800-260-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374213",
            "telephone_number": "918-392-7875",
            "fax_number": "800-260-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT GRACE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ANALISA",
        "authorized_official_middle_name": "NIETO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-269-9511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC CANDIDATE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.