Karen E. Alonso, LMFT

Individual provider Active NPI Marriage & Family Therapist · Tulsa, OK

NPI 1104925940 · NPPES record last updated Sep 27, 2023

Key facts

NPI
1104925940
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
51628 (CA)
Practice address
7804 E 108TH St Ste a
Tulsa, OK 74133-7423
Phone
(918) 236-0273
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laureate Psychiatric Clinic and Hospital Inc (78 clinicians)

Practice addresses (Care Compare)

6655 S Yale Ave
Tulsa, OK 74136-3326
Phone (918) 481-4000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240116002781 OK Practitioner - Marriage and Family Therapist 7517319486 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1330OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Laureate Psychiatric Clinic and Hospital Inc Current
since Jan 1, 2024
Accepting new patients

Locations

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 600
Tulsa, OK 74136
Phone (918) 491-5990

6655 S Yale Ave
Tulsa, OK 74136
Phone (918) 481-4000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1330 OK
Marriage & Family Therapist 106H00000X 51628 CA Yes

Addresses

Primary practice location

7804 E 108TH St Ste a
Tulsa, OK 74133-7423

Mailing address

7804 E 108TH St Ste a
Tulsa, OK 74133-7423
Phone (918) 236-0273

Other identifiers

IdentifierTypeStateIssuer
201040020AMedicaidOK

Other providers in Tulsa, OK

All providers in Tulsa, OK · Marriage & Family Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.