Active NPI
Madison Rasberry
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1518502012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5569 S Lewis Ave
Tulsa, OK 74105-7132 - Phone
- (918) 742-6050
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5569 S Lewis Ave
Tulsa, OK 74105-7132
Mailing address
2908 E Memphis St
Broken Arrow, OK 74014-5003
Phone (918) 519-3986
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Services, Inc., P.C. | Past | Accepting new patients | |
| Therapeutic Counseling, Inc., P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Counselor
- Tulsa, OK
- NPI 1558664813
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1427262997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1518502012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 E MEMPHIS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740145003",
"telephone_number": "918-519-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5569 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741057132",
"telephone_number": "918-742-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASBERRY",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2022-09-01",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.