Individual provider Active NPI

Richard Dean Desirey, MS

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1043464761
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1305 Issued in OK
Practice address
7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Phone
(918) 688-5858
Fax
(918) 495-0779
NPI assigned
Nov 7, 2008
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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 1305 OK Primary

Addresses

Primary practice location

7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713

Mailing address

7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Phone (918) 688-5858

Other identifiers 1

IdentifierTypeStateIssuer
061686MedicaidOK

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1305OKMDSocial Worker

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, 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": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1043464761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE",
            "address_2": "SUITE 215",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365713",
            "telephone_number": "918-688-5858",
            "fax_number": "918-495-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE",
            "address_2": "SUITE 215",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365713",
            "telephone_number": "918-688-5858",
            "fax_number": "918-495-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIREY",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061686",
            "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 Nov 7, 2008; 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.