Individual provider Active NPI

Denise M Parker

  • Peer Specialist
  • Tulsa, OK
National Provider Identifier
1043937618
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
9999999 Issued in OK
Practice address
2508 E 71St St Ste C
Tulsa, OK 74136-5572
Phone
(918) 794-8570
Fax
(918) 340-5189
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 9999999 OK Primary

Addresses

Primary practice location

2508 E 71St St Ste C
Tulsa, OK 74136-5572

Mailing address

PO Box 481062
Tulsa, OK 74148-1062
Phone (918) 982-3254

Other identifiers 1

IdentifierTypeStateIssuer
175T00000XMedicaidOK

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

State licenses

LicenseStateTypeSpecialty
9999999OKMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jackson Counseling Services CurrentSince Jan 1, 2024 Accepting new patients
BLJ Counseling and Consulting PC Peer Specialist PastSince Oct 30, 2022 Accepting new patients

Locations

2508 E 71st St
Ste C
Tulsa, OK 74136
Phone (918) 794-6570

Organizations & group practices 2

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1043937618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481062",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741481062",
            "telephone_number": "918-982-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 E 71ST ST STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365572",
            "telephone_number": "918-794-8570",
            "fax_number": "918-340-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DENISE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175T00000X",
            "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 Oct 25, 2022; 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.