Indigo Bridges Counseling, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

INDIGO BRIDGES COUNSELING, PLLC

Practice address

1541 E 61St St
Tulsa, OK 74136-0718

Phone

(918) 891-6928

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Marilyn A Daniel, LPCNPI 1568001766

Title

Owner

Phone

(918) 891-6928

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilyn Daniel

  • Counselor
  • Okmulgee, OK
  • NPI 1568001766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1124601125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 E 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741360718",
            "telephone_number": "918-891-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 E 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741360718",
            "telephone_number": "918-891-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO BRIDGES COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-891-6928",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "7580",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Opportunities, Inc.
• Independent School District Number 1 of Tulsa County, Oklahoma
• Indian Health Care Resource Center
• Indian Health Care Resource Center of Tulsa, Inc.
• Indian Territory Home Health & Hospice III, LLC
• Individual & Family Service LLC
• Infectious Disease and Pain Management of Tulsa
• Infiniacare LLC
• Infinity Care Hospice LLC
• Infinity Counseling Services

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.