Cynthia M. Gustavson, M.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2246 Issued in OK

Practice address

1244 S Utica Ave
Tulsa, OK 74104-4213

Phone

(918) 295-8692

Fax

(918) 592-5789

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Center for Counseling and Education

  • Voluntary or Charitable Agency
  • Tulsa, OK
  • NPI 1386751485
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043335458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044213",
            "telephone_number": "918-295-8692",
            "fax_number": "918-592-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044213",
            "telephone_number": "918-295-8692",
            "fax_number": "918-592-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVSON",
        "first_name": "CYNTHIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ORGANIZATION #",
            "identifier": "1386751485",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Wayne Gurule', MS
• Norbu Chhiring Gurung
• Priti Gurung, M.D.
• Brenna Josefina Gusman
• Katie Gussenhoven
• Jordan Gustin, MA
• Tuesday Dawn Guthery, APRN-CNP
• Jenny Lea Guthrie, APRN CNP
• Victoria Guthrie
• Sheryl Gutierres, PHARM.D.

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.