Active NPI
Kathryn E Sandefur, LMFT
- Counselor
- Tulsa, OK
National Provider Identifier
1417434259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Dimensions, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Broken Arrow, OK
- NPI 1881012409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.