Active NPI
Susan Rabinovitz, MHR, LPC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1083987853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC07108
- Practice address
- 6440 S Lewis Ave Ste 2200
Tulsa, OK 74136-1060 - Phone
- (918) 712-0859
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | LPC07108 | OK | Primary |
Addresses
Primary practice location
6440 S Lewis Ave Ste 2200
Tulsa, OK 74136-1060
Mailing address
1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC07108 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segue Employee Assistance Program, LLC | Counselor | Current | Accepting new patients |
| Palmer Continuum of Care | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
2202 E 49th St
Ste 400
Tulsa, OK 74105
Phone (918) 645-7681
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 and National Provider Directory roles.
-
- Professional Counselor
- Tulsa, OK
- NPI 1265945984
-
- Addiction (Substance Use Disorder) Counselor
- Tulsa, OK
- NPI 1629359880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1083987853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OLD SOUTH RIVER RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034120",
"telephone_number": "636-224-1210",
"fax_number": "636-246-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 S LEWIS AVE STE 2200",
"city": "TULSA",
"state": "OK",
"postal_code": "741361060",
"telephone_number": "918-712-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABINOVITZ",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MHR, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPC07108",
"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 Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.