Tyson Benjamin Ratzlaff, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4255 Issued in OK

Practice address

705 W Main St
Tishomingo, OK 73460-1734

Phone

(580) 371-3799

NPI assigned

Feb 2, 2010

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

Practice roles

Locations

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.

• Refuge Behavioral Health PLLC

  • Clinic/Center
  • Tishomingo, OK
  • NPI 1104193093
  NPD

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1376875377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E CEDAR RIDGE RD",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734604045",
            "telephone_number": "580-272-8012",
            "fax_number": "580-371-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601734",
            "telephone_number": "580-371-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "TYSON",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Nicole Pratt
• Bobby Don Priddy Jr., APRN CNP
• Kelsey Layne Ragle
• Lindsay Rana
• Lindsay Ratzlaff
• Linda Reed
• Paul A Reel, DO
• Refuge Behavioral Health PLLC
• Michael J Reyes, PA C
• Andrea Michele Reynolds

• Mental Health Counselor in Tishomingo, OK
• Providers in Tishomingo, 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 Feb 2, 2010; 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.