Active NPI
Lisa Danielle Gale, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 120851
- Practice address
- 4612 S Harvard Ave Ste a
Tulsa, OK 74135-2908 - Phone
- (918) 747-5565
- Fax
- (918) 560-1399
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 120851 | OK | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18797 | TN |
Addresses
Primary practice location
4612 S Harvard Ave Ste a
Tulsa, OK 74135-2908
Mailing address
4612 S Harvard Ave Ste a
Tulsa, OK 74135-2908
Phone (918) 747-5565
Other practice location 1
1105 SW 30th Ct
Moore, OK 73160-2887
Phone (405) 378-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
619 N Main St
Muskogee, OK 74401-4431
Phone (918) 682-8407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120851 | OK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Country Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients |
Locations
422 W Gentry Ave
Checotah, OK 74426
Phone (918) 926-6100
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
619 N Main St
Muskogee, OK 74401
Phone (918) 687-1039
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muskogee, OK
- NPI 1336203132
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1245646389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352908",
"telephone_number": "918-747-5565",
"fax_number": "918-747-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352908",
"telephone_number": "918-747-5565",
"fax_number": "918-560-1399"
}
],
"practiceLocations": [
{
"address_1": "1105 SW 30th Ct",
"address_purpose": "LOCATION",
"city": "Moore",
"state": "OK",
"postal_code": "731602887",
"country_code": "US",
"telephone_number": "405-378-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALE",
"first_name": "LISA",
"middle_name": "DANIELLE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "120851",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "18797",
"primary": false
}
],
"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 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.