Active NPI
Diane Cassody Wiseman
- Counselor
- Tulsa, OK
National Provider Identifier
1396072351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3532
- Practice address
- 8810 S Yale Ave Ste P
Tulsa, OK 74137-3551 - Phone
- (918) 855-1435
- Fax
- (918) 626-1388
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3532 | OK | |
| Counselor | 101Y00000X | 3532 | OK | Primary |
Addresses
Primary practice location
8810 S Yale Ave Ste P
Tulsa, OK 74137-3551
Mailing address
8810 S Yale Ave Ste P
Tulsa, OK 74137-3551
Phone (918) 855-1435
Other names 1
- Mrs. Elizabeth Diane Cassody
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1396072351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 S YALE AVE STE P",
"city": "TULSA",
"state": "OK",
"postal_code": "741373551",
"telephone_number": "918-855-1435",
"fax_number": "918-626-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 S YALE AVE STE P",
"city": "TULSA",
"state": "OK",
"postal_code": "741373551",
"telephone_number": "918-855-1435",
"fax_number": "918-626-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "DIANE",
"middle_name": "CASSODY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3532",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "3532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "CASSODY",
"middle_name": "DIANE",
"prefix": "MRS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.