Individual provider Active NPI

Destiny Slavens, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1275114100
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10590 Issued in OK
Practice address
6440 S Lewis Ave Ste 2200
Tulsa, OK 74136-1060
Phone
(918) 712-0859
NPI assigned
Apr 21, 2021
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 10590 OK Primary

Addresses

Primary practice location

6440 S Lewis Ave Ste 2200
Tulsa, OK 74136-1060

Mailing address

18965 S 4210 Rd
Claremore, OK 74017-1715
Phone (918) 770-5977

Other practice location 1

1402 N Florence Ave
Claremore, OK 74017-3159
Phone (918) 608-0380

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
I20240205003161 OK Practitioner - Mental Health Counselor 9537502760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10590OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc. Current Accepting new patients
Preferred Family Health Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

900 E Laharpe St
Kirksville, MO 63501

2114 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 876-4211

201 E Main St
Ste C
Cushing, OK 74023
Phone (918) 225-0540

116 W 7th Ave
Ste 222
Stillwater, OK 74074
Phone (405) 743-2945

6440 S Lewis Ave
Ste 2200
Tulsa, OK 74136
Phone (417) 761-5214

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1275114100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18965 S 4210 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740171715",
            "telephone_number": "918-770-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 S LEWIS AVE STE 2200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361060",
            "telephone_number": "918-712-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 N Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740173159",
            "country_code": "US",
            "telephone_number": "918-608-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVENS",
        "first_name": "DESTINY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "10590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.