NPIMap

Organization Active NPI

Life Mind , PLLC

  • Adult Mental Health Clinic/Center
  • Tulsa, OK
National Provider Identifier
1578061578
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
4777 Issued in OK
Legal business name
LIFE MIND , PLLC
Practice address
2624 E 22ND PL
Tulsa, OK 74114-3131
Phone
(918) 760-1098
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Linda Barnum, LPC
Title
Therapist
Phone
(918) 760-1098

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 4777 OK Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 4777 OK

Addresses

Primary practice location

2624 E 22ND PL
Tulsa, OK 74114-3131

Mailing address

2624 E 22ND PL
Tulsa, OK 74114-3131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1578061578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 E 22ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 E 22ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143131",
            "telephone_number": "918-760-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MIND , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "BARNUM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "918-760-1098",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OK",
            "license": "4777",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OK",
            "license": "4777",
            "primary": false
        }
    ],
    "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 Jan 25, 2018; 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.