Individual provider Active NPI

Talitha S. Bachmann, L.PC, NCC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1215035522
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3728 Issued in OK
Practice address
6717 S Yale Ave Ste 202
Tulsa, OK 74136-3328
Phone
(918) 369-4950
Fax
(918) 369-4951
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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 3728 OK Primary

Addresses

Primary practice location

6717 S Yale Ave Ste 202
Tulsa, OK 74136-3328

Mailing address

6717 S Yale Ave Ste 202
Tulsa, OK 74136-3328
Phone (918) 369-4950

Other names 1

  • Susan Bachmann Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy and Renewal Center PLLC Professional CurrentSince Dec 15, 2019 Accepting new patients

Locations

6717 S Yale Ave
Ste 202
Tulsa, OK 74136
Phone (918) 369-4950

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1215035522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363328",
            "telephone_number": "918-369-4950",
            "fax_number": "918-369-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363328",
            "telephone_number": "918-369-4950",
            "fax_number": "918-369-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMANN",
        "first_name": "TALITHA",
        "middle_name": "S.",
        "credential": "L.PC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BACHMANN",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.