Intentional Paths to Recovery, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTENTIONAL PATHS TO RECOVERY, LLC

Practice address

5509 Main St Ste 103
Del City, OK 73115-5511

Phone

(405) 627-9308

NPI assigned

Oct 26, 2022

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany S Harrison, LCSW, LADC/MHNPI 1104174556

Title

Owner

Phone

(405) 625-0710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Sharrice Harrison, LCSW LADC/MH

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1104174556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1124745435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EASTRIDGE PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731412226",
            "telephone_number": "405-625-0710",
            "fax_number": "405-796-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 MAIN ST STE 103",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155511",
            "telephone_number": "405-627-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL PATHS TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-625-0710",
        "authorized_official_credential": "LCSW, LADC/MH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Hufford, COTA/L
• Iacc/Ehi NW, LLC (INTEGRIS Community Hospital - Del City)
• Steve Ihekona
• Impact Imaging, Inc.
• Kelsey Ingram, OTD
• Allison Marie Jackson, RN, BSN, MSN-PMHNP
• Kelly Annette Jackson
• James S Choe MD PLLC (Choe Medical Group)
• Dillon Trey Jarrett
• Jinny Ann 4 Corporation (Lassiter Drug)

• Clinical Social Worker in Del City, OK
• Providers in Del City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.