Individual provider Active NPI

Laura Prosser, LPC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1336528025
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6896 Issued in OK
Practice address
2417 E 53Rd St Ste 102
Tulsa, OK 74105-6600
Phone
(405) 492-7211
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 6896 OK Primary

Addresses

Primary practice location

2417 E 53Rd St Ste 102
Tulsa, OK 74105-6600

Mailing address

205 W Victoria St
Tulsa, OK 74106-3646
Phone (918) 229-0817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 10, 2025 through Jun 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6896OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Therapy Services, LLC Mental Health CurrentSince Jan 15, 2023 Accepting new patients

Locations

6846 S Canton Ave
Ste 520D
Tulsa, OK 74136
Phone (918) 884-6936

2417 E 53rd St
Ste 102
Tulsa, OK 74105
Phone (405) 492-7211

4870 S Lewis Ave
Ste 190
Tulsa, OK 74105
Phone (918) 628-7277

Organizations & group practices 1

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1336528025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W VICTORIA ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741063646",
            "telephone_number": "918-229-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 E 53RD ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056600",
            "telephone_number": "405-492-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "LAURA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.