Active NPI
Copper Penny Psychological Center, PLLC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1578800520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- COPPER PENNY PSYCHOLOGICAL CENTER, PLLC
- Practice address
- 8637 S 73Rd East Ave
Tulsa, OK 74133-6606 - Phone
- (918) 809-0350
- Fax
- (918) 806-8026
- NPI assigned
- Jan 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Underwood, LPC
- Title
- President
- Phone
- (918) 809-0350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
8637 S 73Rd East Ave
Tulsa, OK 74133-6606
Mailing address
8637 S 73Rd East Ave
Tulsa, OK 74133-6606
Phone (918) 809-0350
National Provider Directory
National Provider DirectoryLocations
4821 S Sheridan Rd
Ste 200
Tulsa, OK 74145
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tulsa, OK
- NPI 1659685949
-
- Professional Counselor
- Tulsa, OK
- NPI 1982993101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357776000000",
"number": "1578800520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8637 S 73RD EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741336606",
"telephone_number": "918-809-0350",
"fax_number": "918-806-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8637 S 73RD EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741336606",
"telephone_number": "918-809-0350",
"fax_number": "918-806-8026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPPER PENNY PSYCHOLOGICAL CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-809-0350",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"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 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.