Organization Active NPI

Stacy Mitchell

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1053761080
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STACY MITCHELL
Practice address
2816 E 51St St
Tulsa, OK 74105-1737
Phone
(918) 836-0239
Fax
(918) 836-6101
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Stacy Mitchell, LPCNPI 1043871213
Title
Therapist
Phone
(918) 836-0239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2816 E 51St St
Tulsa, OK 74105-1737

Mailing address

2816 E 51St St
Tulsa, OK 74105-1737
Phone (918) 836-0239

National Provider Directory

National Provider Directory

Locations

2816 E 51st St
Tulsa, OK 74105
Phone (918) 836-0239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1053761080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741051737",
            "telephone_number": "918-836-0239",
            "fax_number": "918-836-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741051737",
            "telephone_number": "918-836-0239",
            "fax_number": "918-836-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY MITCHELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "918-836-0239",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jun 21, 2016; 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.