Individual provider Active NPI

Tiffany Dawn Sutton, LPCC

  • Counselor
  • Tulsa, OK
National Provider Identifier
1427624543
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6126 E 32ND PL
Tulsa, OK 74135-5406
Phone
(918) 394-2256
NPI assigned
May 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

6126 E 32ND PL
Tulsa, OK 74135-5406

Mailing address

12808 E 128TH St S
Broken Arrow, OK 74011-5600
Phone (918) 810-6507

Other practice location 1

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
I20240925002472 OK Practitioner - Mental Health Counselor 1254872898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7718 E 91St St
Suite 100
Tulsa, OK 74133-6051
Phone (918) 810-6507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11141OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Recovery Services of Oklahoma, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Keepin It Real With Tiffany Counseling Services LLC CurrentSince Aug 5, 2024 Accepting new patients
Brighter Dimensions, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

7718 E 91st St
Ste 100
Tulsa, OK 74133
Phone (918) 743-2555

6126 E 32nd Pl
Tulsa, OK 74135
Phone (918) 394-2256

Organizations & group practices 3

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": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1427624543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 E 128TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740115600",
            "telephone_number": "918-810-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 E 32ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355406",
            "telephone_number": "918-394-2256"
        }
    ],
    "practiceLocations": [
        {
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "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.