Individual provider Active NPI

Cristian Andres Zapata Rincon

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1508430158
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2510 E 15TH St Ste 119
Tulsa, OK 74104-4643
Phone
(539) 222-7533
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X OK Primary

Addresses

Primary practice location

2510 E 15TH St Ste 119
Tulsa, OK 74104-4643

Mailing address

2510 E 15TH St Ste 119
Tulsa, OK 74104-4643
Phone (539) 222-7533

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
I20240531003372 OK Practitioner - Clinical Social Worker 6608218995 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mentesana, LLC Clinical CurrentSince Feb 4, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Feb 17, 2026 Accepting new patients
Improving Lives Counseling Services, Inc. CurrentSince May 24, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Feb 17, 2026 Accepting new patients

Locations

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

6216 S Lewis Ave
Ste 180
Tulsa, OK 74136
Phone (918) 289-6531

6111 E Skelly Dr
Tulsa, OK 74135
Phone (800) 722-3611

2510 E 15th St
Ste 119
Tulsa, OK 74104
Phone (539) 222-7533

Organizations & group practices 5

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1508430158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E 15TH ST STE 119",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044643",
            "telephone_number": "539-222-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E 15TH ST STE 119",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044643",
            "telephone_number": "539-222-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA RINCON",
        "first_name": "CRISTIAN",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.