Individual provider Active NPI

Alice Lucy Bonifield, LPC

  • Counselor
  • Tulsa, OK
National Provider Identifier
1356584817
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6931 S 66TH East Ave Ste 200
Tulsa, OK 74133-1765
Phone
(918) 379-4431
Fax
(918) 328-2380
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6931 S 66TH East Ave Ste 200
Tulsa, OK 74133-1765

Mailing address

6931 S 66TH East Ave Ste 200
Tulsa, OK 74133-1765
Phone (918) 379-4431

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
I20240423000041 OK Practitioner - Mental Health Counselor 5597104653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolution Mental Health Services PLLCGroup PAC ID 5496106593, 6 clinicians

Practice addresses (Care Compare)

6931 S 66TH E Ave
Suite 200
Tulsa, OK 74133-1765
Phone (918) 379-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Mental Health Services PLLC Counselor CurrentSince Apr 1, 2024 Accepting new patients

Locations

6931 S 66th East Ave
Ste 200
Tulsa, OK 74133
Phone (918) 379-4431

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356584817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 S 66TH EAST AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331765",
            "telephone_number": "918-379-4431",
            "fax_number": "918-328-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 S 66TH EAST AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331765",
            "telephone_number": "918-379-4431",
            "fax_number": "918-328-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIFIELD",
        "first_name": "ALICE",
        "middle_name": "LUCY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2025-09-11",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.