Individual provider Active NPI

Karlos Lesure Sr., MASTERS OF THEOLOGY,

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1306194626
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1301 Martin Luther King Blvd
Ste#101
Oklahoma City, OK 73117-4235
Phone
(405) 424-0007
Fax
(405) 424-6507
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1301 Martin Luther King Blvd
Ste#101
Oklahoma City, OK 73117-4235

Mailing address

4524 NE 38TH St
Oklahoma City, OK 73121-6411
Phone (405) 609-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1306194626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 NE 38TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731216411",
            "telephone_number": "405-609-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MARTIN LUTHER KING BLVD",
            "address_2": "STE#101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731174235",
            "telephone_number": "405-424-0007",
            "fax_number": "405-424-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESURE",
        "first_name": "KARLOS",
        "name_suffix": "Sr.",
        "credential": "MASTERS OF THEOLOGY,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.