Michael Dan Woolridge, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2321 Issued in OK

Practice address

1516 S Boston Ave Ste 1
Tulsa, OK 74119-4029

Phone

(918) 561-6000

Fax

(918) 561-6001

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1326656919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 W TECUMSEH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741272526",
            "telephone_number": "918-592-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE STE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194029",
            "telephone_number": "918-561-6000",
            "fax_number": "918-561-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLRIDGE",
        "first_name": "MICHAEL",
        "middle_name": "DAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wooldridge
• Leigha Wooley
• Eric Brady Woolley, M.D.
• Stacey Ryan Woolley, SLP
• Amanda Woolman- Carnes, PHD FUNCTIONAL MED
• Diana J Woolworth, BSW
• Julie A Woosley, MD
• Ronald Woosley, M.D.
• Daniel K. Wooster, DO
• Brenda Wooten

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.