Individual provider Active NPI

Kathryn E Sandefur, LMFT

  • Counselor
  • Tulsa, OK
National Provider Identifier
1417434259
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2202 E 49TH St Ste 400
Tulsa, OK 74105-8714
Phone
(918) 749-1840
Fax
(918) 749-1841
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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

2202 E 49TH St Ste 400
Tulsa, OK 74105-8714

Mailing address

6718 S 71St East Ave
Tulsa, OK 74133-1817
Phone (918) 800-1322

Other practice location 1

6718 S 71st East Ave
Tulsa, OK 74133-1817
Phone (918) 800-1322

Other practice location 2

504 W Atlanta St
Broken Arrow, OK 74012-7004
Phone (918) 615-6620

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
I20241212002223 OK Practitioner - Marriage and Family Therapist 0446786529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Dimensions, LLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

504 W Atlanta St
Broken Arrow, OK 74012
Phone (918) 615-6620

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1417434259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 S 71ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331817",
            "telephone_number": "918-800-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 E 49TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741058714",
            "telephone_number": "918-749-1840",
            "fax_number": "918-749-1841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6718 S 71st East Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741331817",
            "country_code": "US",
            "telephone_number": "918-800-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W Atlanta St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127004",
            "country_code": "US",
            "telephone_number": "918-615-6620",
            "fax_number": "918-609-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDEFUR",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "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.