Individual provider Active NPI

Scott William Thomas

  • Professional Counselor
  • Broken Arrow, OK
National Provider Identifier
1144661729
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1492 Issued in OK
Practice address
1814 S Main St
Broken Arrow, OK 74012-6503
Phone
(918) 991-5771
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X 1492 OK Primary
Marriage & Family Therapist 106H00000X 722 OK

Addresses

Primary practice location

1814 S Main St
Broken Arrow, OK 74012-6503

Mailing address

6369 S 86TH East Ave
Tulsa, OK 74133-1356
Phone (918) 991-5771

Other identifiers 2

IdentifierTypeStateIssuer
722OtherOKOKLAHOMA STATE DEPARTMENT OF HEALTH/LMFT LICENSE
1492OtherOKOKLAHOMA STATE DEPARTMENT OF HEALTH/LPC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909001182 OK Practitioner - Mental Health Counselor 2163964818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Behavioral Health ServicesGroup PAC ID 0840702387, 10 clinicians

Practice addresses (Care Compare)

4870 S Lewis Ave
Suite 250
Tulsa, OK 74105-5153
Phone (918) 205-4148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1492OKMDOccupational Therapy Assistant
722OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Behavioral Health Services CurrentSince Jun 12, 2025 Accepting new patients

Locations

4870 S Lewis Ave
Ste 250
Tulsa, OK 74105
Phone (918) 205-4148

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.scottthomas@148561.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1144661729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6369 S 86TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331356",
            "telephone_number": "918-991-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 S MAIN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126503",
            "telephone_number": "918-991-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1492",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE DEPARTMENT OF HEALTH/LMFT LICENSE",
            "identifier": "722",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE DEPARTMENT OF HEALTH/LPC LICENSE",
            "identifier": "1492",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.