NPIMap

Organization Active NPI

Soaak Clinics LLC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1497592596
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOAAK CLINICS LLC
Practice address
2448 E 81St St Ste 5100
Tulsa, OK 74137-4289
Phone
(918) 747-7400
NPI assigned
Jul 15, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Laura Widney
Title
President
Phone
(918) 770-2271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Counseling Psychologist 103TC1900X NU

Addresses

Primary practice location

2448 E 81St St Ste 5100
Tulsa, OK 74137-4289

Mailing address

2448 E 81St St Ste 5100
Tulsa, OK 74137-4289
Phone (918) 747-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250219002850 OK Part B Supplier - Clinic/Group Practice 8426578527 Receives reassigned benefits from 8 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2448 E 81st St
Ste 5100
Tulsa, OK 74137
Phone (918) 584-2500

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1497592596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374289",
            "telephone_number": "918-747-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374289",
            "telephone_number": "918-747-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAAK CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "WIDNEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-770-2271"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.