Reverence Counseling & Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVERENCE COUNSELING & CONSULTING

Practice address

7136 S Yale Ave Ste 300
Tulsa, OK 74136-6381

Phone

(918) 619-5168

NPI assigned

Feb 28, 2020

Organization subpart

No

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

Authorized official

Name

Samantha Cannon, LCSWNPI 1063841419

Title

Owner

Phone

(918) 619-5168

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Cannon, MSW

  • Counselor
  • Tulsa, OK
  • NPI 1063841419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1346874203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 S YALE AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 S YALE AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366381",
            "telephone_number": "918-619-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-619-5168",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tulsa",
            "affiliation": "N",
            "address_1": "7136 S Yale Ave Ste 300",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741366381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan G Reusser, DO
• Leron Revan
• Revelation Medical LLC
• Revelation Medical of Tulsa LLC
• Andreas Frank Revelis, M.D.
• Logan Revill, APRN
• Grayson Revilla
• Revive Counseling
• Glenn Ethan Patrick Rex
• Jennifer Carol Rexroad, C.R.N.A.

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.