Individual provider Active NPI

Michael White, MS, LPC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1568712461
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5975 Issued in OK
Practice address
1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone
(918) 400-7001
Fax
(539) 202-5070
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5975 OK Primary

Addresses

Primary practice location

1538 N Lewis Ave
Tulsa, OK 74110-2535

Mailing address

6130 E 32ND St Ste 116
Tulsa, OK 74135-5454
Phone (918) 282-3049

Other practice location 1

1505 N Boston Pl
Tulsa, OK 74106-4103
Phone (918) 510-4872

Other practice location 2

6130 E 32nd St Ste 116
Tulsa, OK 74135
Phone (918) 282-3049

Other identifiers 1

IdentifierTypeStateIssuer
1568712461MedicaidOK

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
I20240109000450 OK Practitioner - Mental Health Counselor 1456702075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sydlyfe Counseling Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106
Phone (918) 728-8512

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1568712461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 E 32ND ST STE 116",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355454",
            "telephone_number": "918-282-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 N LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741102535",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 N Boston Pl",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741064103",
            "country_code": "US",
            "telephone_number": "918-510-4872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6130 E 32nd St Ste 116",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74135",
            "country_code": "US",
            "telephone_number": "918-282-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568712461",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.