Individual provider Active NPI

Marene Meyburgh, LPCC

  • Counselor
  • Tulsa, OK
National Provider Identifier
1225800329
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
99999 Issued in OK
Practice address
6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Phone
(918) 960-7852
Fax
(539) 664-5738
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 99999 OK Primary

Addresses

Primary practice location

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077

Mailing address

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077
Phone (918) 960-7852

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
I20250905003267 OK Practitioner - Mental Health Counselor 9335641638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Improving Lives Counseling Services IncGroup PAC ID 3870818230, 32 clinicians

Practice addresses (Care Compare)

6216 S Lewis Ave
Suite 180
Tulsa, OK 74136-1077
Phone (918) 960-7852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99999OKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Improving Lives Counseling Services, Inc. CurrentSince Aug 22, 2025 Accepting new patients

Locations

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

10212 E 41st St
Tulsa, OK 74146
Phone (918) 970-0028

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1225800329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-960-7852",
            "fax_number": "539-664-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-960-7852",
            "fax_number": "539-664-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYBURGH",
        "first_name": "MARENE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "99999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.