Larry Carl Tustin, BA, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

501 Dewey Ave
Poteau, OK 74953-4215

Phone

(918) 649-5035

NPI assigned

May 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1104145143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530504",
            "telephone_number": "918-649-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534215",
            "telephone_number": "918-649-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSTIN",
        "first_name": "LARRY",
        "middle_name": "CARL",
        "credential": "BA, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Rehabilitation, Inc
• Tracy Morgan Aprn-CNP PLLC
• Triad Complete Healthcare Z15 LLC
• Trinity Therapy Services, L.L.C.
• Hannah E Tustin, PT
• Melissa Twyman
• Gary Vancil
• Erica Markay Vanhook, BA
• Sooner Marie Vanhook
• Candice L Vaughn, PHARMD

• Addiction (Substance Use Disorder) Counselor in Poteau, OK
• Providers in Poteau, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.