Individual provider Active NPI

Daniel Ulberg, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1043450398
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6028 S 66TH East Ave
Ste 105
Tulsa, OK 74145-9226
Phone
(918) 809-8164
Fax
(918) 499-2280
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

6028 S 66TH East Ave
Ste 105
Tulsa, OK 74145-9226

Mailing address

6028 S 66TH East Ave
Ste 105
Tulsa, OK 74145-9226
Phone (918) 809-8164

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
I20260219002552 OK Practitioner - Mental Health Counselor 1557841335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14771 S Vandalia Ave
Bixby, OK 74008-4066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4429OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Boundaries Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

6028 S 66th East Ave
Ste 105
Tulsa, OK 74145
Phone (918) 361-1619

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1043450398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S 66TH EAST AVE",
            "address_2": "STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459226",
            "telephone_number": "918-809-8164",
            "fax_number": "918-499-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S 66TH EAST AVE",
            "address_2": "STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459226",
            "telephone_number": "918-809-8164",
            "fax_number": "918-499-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULBERG",
        "first_name": "DANIEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.