Individual provider Active NPI

Amber Hulgan, LMFT

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1184946410
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
5517 S Linn Ave
Oklahoma City, OK 73119-5834
Phone
(405) 881-8346
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1265 OK
Specialist 174400000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

5517 S Linn Ave
Oklahoma City, OK 73119-5834

Mailing address

PO Box 60189
4359
Oklahoma City, OK 73146
Phone (405) 881-8346

Other identifiers 1

IdentifierTypeStateIssuer
200437510AMedicaidOK

Other names 1

  • Amber Hulgan Professional name

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
I20240228002241 OK Practitioner - Marriage and Family Therapist 2365887437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy Solutions of Oklahoma, LLCGroup PAC ID 2264808211, 22 clinicians

Practice addresses (Care Compare)

620 NW 5TH St D
Main Office
Moore, OK 73160-3947
Phone (405) 208-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1265OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1184946410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60189",
            "address_2": "4359",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73146",
            "telephone_number": "405-881-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 S LINN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731195834",
            "telephone_number": "405-881-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULGAN",
        "first_name": "AMBER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1265",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HULGAN",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.