Individual provider Active NPI

Claudeen Dawn McCormick, MS

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1184823783
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
UNDER SUPERVISION Issued in OK
Practice address
4300 S Harvard Ave Ste 100
Tulsa, OK 74135-2608
Phone
(918) 585-3170
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X UNDER SUPERVISION OK Primary
Professional Counselor 101YP2500X UNDER SUPERVISION OK

Addresses

Primary practice location

4300 S Harvard Ave Ste 100
Tulsa, OK 74135-2608

Mailing address

4300 S Harvard Ave Ste 100
Tulsa, OK 74135-2608
Phone (918) 585-3170

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 Science

State licenses

LicenseStateTypeSpecialty
UNDER SUPERVISIONOKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1184823783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S HARVARD AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352608",
            "telephone_number": "918-585-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S HARVARD AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352608",
            "telephone_number": "918-585-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CLAUDEEN",
        "middle_name": "DAWN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "UNDER SUPERVISION",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "UNDER SUPERVISION",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2007; 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.