Individual provider Active NPI

Norma Jane Vantine, M.S., L.P.C.

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1184860611
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1177 Issued in OK
Practice address
1503 S. Denver Ave.
Ywca Tulsa
Tulsa, OK 74119-3828
Phone
(918) 588-9393
Fax
(918) 588-9394
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1177 OK Primary

Addresses

Primary practice location

1503 S. Denver Ave.
Ywca Tulsa
Tulsa, OK 74119-3828

Mailing address

1503 S. Denver Ave.
Ywca Tulsa
Tulsa, OK 74119-3828
Phone (918) 588-9393

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
1177OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ywca Tulsa Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1184860611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S. DENVER AVE.",
            "address_2": "YWCA TULSA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741193828",
            "telephone_number": "918-588-9393",
            "fax_number": "918-588-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S. DENVER AVE.",
            "address_2": "YWCA TULSA",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741193828",
            "telephone_number": "918-588-9393",
            "fax_number": "918-588-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTINE",
        "first_name": "NORMA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1177",
            "primary": true
        }
    ],
    "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 Jan 6, 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.

Verify at the official NPI Registry.