Active NPI
Laura Elizabeth Fite, LPC CSAC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1174620801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4080
- Practice address
- 7145 S Braden Ave
Tulsa, OK 74136-6302 - Phone
- (918) 496-6987
- Fax
- (918) 497-1206
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003570 | VA | |
| Professional Counselor | 101YP2500X | 4080 | OK | Primary |
Addresses
Primary practice location
7145 S Braden Ave
Tulsa, OK 74136-6302
Mailing address
7145 S Braden Ave
Tulsa, OK 74136-6302
Phone (918) 496-6987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010029627 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003570 | VA | MD | Professional Counselor |
| 4080 | OK | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Counseling | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Tulsa, OK
- NPI 1790335057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1174620801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 S BRADEN AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366302",
"telephone_number": "918-496-6987",
"fax_number": "918-497-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 S BRADEN AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366302",
"telephone_number": "918-496-6987",
"fax_number": "918-497-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITE",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPC CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003570",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010029627",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.