Individual provider Active NPI

George Bowden McElroy IV, M.ED.

  • Professional Counselor
  • Broken Arrow, OK
National Provider Identifier
1104987874
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
01519 Issued in OK
Practice address
3104 S Elm PL Ste G
Broken Arrow, OK 74012-7949
Phone
(918) 346-3665
Fax
(918) 948-7018
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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
Professional Counselor 101YP2500X 01519 OK Primary

Addresses

Primary practice location

3104 S Elm PL Ste G
Broken Arrow, OK 74012-7949

Mailing address

3104 S Elm PL Ste G
Broken Arrow, OK 74012-7949
Phone (918) 346-3665

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 Education

State licenses

LicenseStateTypeSpecialty
01519OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowden McElroy and Associates, LLC Professional Current Accepting new patients
Christian Family Institute Inc Professional Past Accepting new patients

Locations

3104 S Elm Pl
Ste G
Broken Arrow, OK 74012
Phone (918) 346-3665

7136 S Yale Ave
Ste 310
Tulsa, OK 74136

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1104987874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 S ELM PL STE G",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127949",
            "telephone_number": "918-346-3665",
            "fax_number": "918-948-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 S ELM PL STE G",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127949",
            "telephone_number": "918-346-3665",
            "fax_number": "918-948-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "GEORGE",
        "middle_name": "BOWDEN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "01519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.