Active NPI
Lisa Michele Reser, BHCM II
- Counselor
- Tulsa, OK
National Provider Identifier
1548985807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11842
- Practice address
- 2442 Mohawk Blvd
Tulsa, OK 74110-1519 - Phone
- (918) 430-0975
- NPI assigned
- Oct 10, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11842 | OK | Primary |
Addresses
Primary practice location
2442 Mohawk Blvd
Tulsa, OK 74110-1519
Mailing address
2444 S Irvington Ave
Tulsa, OK 74114-3800
Phone (918) 629-1287
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | lreser@palmer-tulsa.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11842 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer Continuum of Care, Inc. | Current | Accepting new patients | |
| Tulsa Day Center for the Homeless Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
Locations
2442 Mohawk Blvd
Tulsa, OK 74110
Phone (918) 430-0975
Interoperability endpoints
- https://api.platform.athenahealth.com/22121/brand/1/csg/1/fhir/r4
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.
-
- Substance Abuse Rehabilitation Facility
- Tulsa, OK
- NPI 1104049733
-
- Case Manager/Care Coordinator
- Tulsa, OK
- NPI 1558551804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1548985807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 S IRVINGTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741143800",
"telephone_number": "918-629-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2442 MOHAWK BLVD",
"city": "TULSA",
"state": "OK",
"postal_code": "741101519",
"telephone_number": "918-430-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESER",
"first_name": "LISA",
"middle_name": "MICHELE",
"credential": "BHCM II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "11842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "lreser@palmer-tulsa.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2442 Mohawk Blvd",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741101519",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.