Individual provider Active NPI

Susan Rabinovitz, MHR, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1083987853
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC07108 Issued in OK
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

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002392 OK Practitioner - Mental Health Counselor 6507216264 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC07108OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Employee Assistance Program, LLC Counselor CurrentSince Aug 11, 2025 Accepting new patients
Palmer Continuum of Care Addiction (Substance Use Disorder) PastSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.