Individual provider Active NPI

Irene Bjorg Warwick, M.S., L.P.C.

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1295971729
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1549 Issued in OK
Practice address
4720 S Harvard Ave
Suite 207
Tulsa, OK 74135-3048
Phone
(918) 748-9868
Fax
(918) 748-9835
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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 1549 OK Primary

Addresses

Primary practice location

4720 S Harvard Ave
Suite 207
Tulsa, OK 74135-3048

Mailing address

4720 S Harvard Ave
Suite 207
Tulsa, OK 74135-3048
Phone (918) 748-9868

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
I20240104000098 OK Practitioner - Mental Health Counselor 4688025612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prophylaxis Healthcare LLCGroup PAC ID 3072784289, 26 clinicians
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

11911 S Memorial Dr
Suite 2
Bixby, OK 74008-2030
Phone (918) 970-3790

1919 S Wheeling Ave
Suite 200
Tulsa, OK 74104-5631
Phone (918) 748-7600

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1549OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
St. John Physicians, Inc. Past Accepting new patients

Locations

4720 S Harvard Ave
Ste 207
Tulsa, OK 74135
Phone (918) 748-9868

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1295971729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 S HARVARD AVE",
            "address_2": "SUITE 207",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353048",
            "telephone_number": "918-748-9868",
            "fax_number": "918-748-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S HARVARD AVE",
            "address_2": "SUITE 207",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353048",
            "telephone_number": "918-748-9868",
            "fax_number": "918-748-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARWICK",
        "first_name": "IRENE",
        "middle_name": "BJORG",
        "name_prefix": "Ms.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.