Individual provider Active NPI

Roberta Sue Heustis, LADC, (US)

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1396947305
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2727 E Admiral PL
Tulsa, OK 74110-5436
Phone
(918) 835-3017
Fax
(918) 836-0358
NPI assigned
Jun 1, 2007
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2727 E Admiral PL
Tulsa, OK 74110-5436

Mailing address

18921 W Wekiwa Rd Lot 31
Sand Springs, OK 74063-5970
Phone (918) 981-0833

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
I20260520004706 OK Practitioner - Mental Health Counselor 8628547460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1396947305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18921 W WEKIWA RD LOT 31",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740635970",
            "telephone_number": "918-981-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E ADMIRAL PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741105436",
            "telephone_number": "918-835-3017",
            "fax_number": "918-836-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSTIS",
        "first_name": "ROBERTA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LADC, (US)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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.