Organization Active NPI

Heartland Resolution Therapy, LLC

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1295373777
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEARTLAND RESOLUTION THERAPY, LLC
Practice address
4821 S Sheridan Rd Ste 217
Tulsa, OK 74145-5716
Phone
(918) 212-6567
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Allison M Mason, LCSW
Title
LCSW
Phone
(918) 557-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4821 S Sheridan Rd Ste 217
Tulsa, OK 74145-5716

Mailing address

13928 S 300TH East Ave
Coweta, OK 74429-7825
Phone (918) 557-9141

National Provider Directory

National Provider Directory

Locations

4821 S Sheridan Rd
Ste 217
Tulsa, OK 74145
Phone (918) 212-6567

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1295373777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13928 S 300TH EAST AVE",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297825",
            "telephone_number": "918-557-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 S SHERIDAN RD STE 217",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455716",
            "telephone_number": "918-212-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RESOLUTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "918-557-9141",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.