Individual provider Active NPI

Tonjua D Sherrill, LMFT

  • Marriage & Family Therapist
  • Tulsa, OK
National Provider Identifier
1457401028
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1045 Issued in OK
Practice address
2325 S Harvard Ave
Suite 300
Tulsa, OK 74114-3300
Phone
(918) 712-6345
Fax
(918) 712-3409
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 183 KS
Marriage & Family Therapist 106H00000X 1045 OK Primary

Addresses

Primary practice location

2325 S Harvard Ave
Suite 300
Tulsa, OK 74114-3300

Mailing address

2325 S Harvard Ave
Suite 300
Tulsa, OK 74114-3300
Phone (918) 712-6345

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
I20240412003632 OK Practitioner - Marriage and Family Therapist 0042659898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panhandle Counseling and Health Center, Inc.Group PAC ID 8123324613, 5 clinicians

Practice addresses (Care Compare)

1309 N E St
Guymon, OK 73942-3333
Phone (580) 338-4638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1045OKMDAddiction (Substance Use Disorder) Counselor
183KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Counseling & Health Center, Inc. Current Accepting new patients
Panhandle Counseling & Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Panhandle Counseling & Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1309 N East St
Guymon, OK 73942
Phone (580) 338-4638

Organizations & group practices 4

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1457401028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 S HARVARD AVE",
            "address_2": "SUITE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143300",
            "telephone_number": "918-712-6345",
            "fax_number": "918-712-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 S HARVARD AVE",
            "address_2": "SUITE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143300",
            "telephone_number": "918-712-6345",
            "fax_number": "918-712-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "TONJUA",
        "middle_name": "D",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "183",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.