Individual provider Active NPI

Ardel Lynn Gregory, M.S.

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1063606085
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1048 Issued in OK
Practice address
4870 S Lewis Ave
Suite 190
Tulsa, OK 74105-5151
Phone
(918) 628-7277
Fax
(918) 742-7677
NPI assigned
Sep 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1048 OK Primary
Marriage & Family Therapist 106H00000X 183 OK

Addresses

Primary practice location

4870 S Lewis Ave
Suite 190
Tulsa, OK 74105-5151

Mailing address

4870 S Lewis Ave
Suite 190
Tulsa, OK 74105-5151
Phone (918) 628-7277

Other names 1

  • Ms. Del Lynn Morgan Former name

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
1048OKMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1063606085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE",
            "address_2": "SUITE 190",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055151",
            "telephone_number": "918-628-7277",
            "fax_number": "918-742-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE",
            "address_2": "SUITE 190",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055151",
            "telephone_number": "918-628-7277",
            "fax_number": "918-742-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ARDEL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1048",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEL",
            "last_name": "MORGAN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 3, 2007; 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.