Individual provider Active NPI

Melissa Slape, MSW U/S

  • Counselor
  • Wagoner, OK
National Provider Identifier
1548792237
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
109 S Harrill Ave
Wagoner, OK 74467-5317
Phone
(918) 260-6114
NPI assigned
Mar 31, 2017
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Mailing address

4126 E 36TH PL
Tulsa, OK 74135-2322
Phone (918) 313-3334

Other practice location 1

3642 S Oswego Ave
Tulsa, OK 74135-2214
Phone (918) 260-6114

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
I20231025000096 OK Practitioner - Clinical Social Worker 7810343035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services CurrentSince Sep 3, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Sep 3, 2023 Accepting new patients
Creoks Mental Health Services Current Accepting new patients

Locations

2548 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 355-0993

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

109 S Harrill Ave
Wagoner, OK 74467
Phone (918) 485-0242

Organizations & group practices 3

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1548792237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 E 36TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352322",
            "telephone_number": "918-313-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S HARRILL AVE",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744675317",
            "telephone_number": "918-260-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3642 S Oswego Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352214",
            "country_code": "US",
            "telephone_number": "918-260-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAPE",
        "first_name": "MELISSA",
        "credential": "MSW U/S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

Verify at the official NPI Registry.