Individual provider Active NPI

Lisa Michele Reser, BHCM II

  • Counselor
  • Tulsa, OK
National Provider Identifier
1548985807
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11842 Issued in OK
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

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
11842OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Continuum of Care, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Tulsa Day Center for the Homeless Inc Case Manager/Care Coordinator PastSince Nov 3, 2024 Accepting new patients

Locations

2442 Mohawk Blvd
Tulsa, OK 74110
Phone (918) 430-0975

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.