Individual provider Active NPI

William Andrison, LPC, PH.D

  • Counselor
  • Tulsa, OK
National Provider Identifier
1043686652
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1743 Issued in OK
Practice address
1516 S Boston Ave.
Tulsa, OK 74119-4029
Phone
(918) 327-3081
NPI assigned
Aug 18, 2015
Sex
Male
Sole proprietor
No

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
Doctor of Philosophy

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1743 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

1516 S Boston Ave.
Tulsa, OK 74119-4029

Mailing address

PO Box 3412
Bartlesville, OK 74006-3412

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2015.

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1043686652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3412",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740063412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194029",
            "telephone_number": "918-327-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRISON",
        "first_name": "WILLIAM",
        "credential": "LPC, PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "1743",
            "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 Aug 18, 2015; 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.