Active NPI
Full Life Behavioral Systems, Inc.
- Community/Behavioral Health Agency
- Tulsa, OK
National Provider Identifier
1194405704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FULL LIFE BEHAVIORAL SYSTEMS, INC.
- Practice address
- 3015 E Skelly Dr Ste 135
Tulsa, OK 74105-6344 - Phone
- (918) 636-6476
- NPI assigned
- Jul 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon Elaine Nelson, LPC
- Title
- Owner
- Phone
- (918) 639-6492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3015 E Skelly Dr Ste 135
Tulsa, OK 74105-6344
Mailing address
PO Box 690571
Tulsa, OK 74169-0571
Phone (918) 636-6576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3015 E Skelly Dr
Ste 1020
Tulsa, OK 74105
Phone (918) 639-6492
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Tulsa, OK
- NPI 1235568296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1194405704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690571",
"city": "TULSA",
"state": "OK",
"postal_code": "741690571",
"telephone_number": "918-636-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR STE 135",
"city": "TULSA",
"state": "OK",
"postal_code": "741056344",
"telephone_number": "918-636-6476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL LIFE BEHAVIORAL SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-639-6492",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.