Individual provider Active NPI

Edward Nole, LPC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1497261135
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5633 Issued in OK
Practice address
4912 E 22ND St
Tulsa, OK 74114-2206
Phone
(918) 694-6653
Fax
(918) 694-6653
NPI assigned
Dec 18, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5633 OK Primary

Addresses

Primary practice location

4912 E 22ND St
Tulsa, OK 74114-2206

Mailing address

4912 E 22ND St
Tulsa, OK 74114-2206
Phone (918) 694-6653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5633OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hope Counseling Center PLLC Mental Health CurrentSince Aug 25, 2024 Accepting new patients
Edward Nole Counseling Past Accepting new patients

Locations

2121 S Columbia Ave
Ste 570
Tulsa, OK 74114
Phone (918) 749-8899

Organizations & group practices 2

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1497261135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 E 22ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741142206",
            "telephone_number": "918-694-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 E 22ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741142206",
            "telephone_number": "918-694-6653",
            "fax_number": "918-694-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLE",
        "first_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5633",
            "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 Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.