Active NPI
Tamika Sutton-Lipsey, LCSW
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1578850483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2508 E 71St St Ste C
Tulsa, OK 74136-5572 - Phone
- (918) 794-6570
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2508 E 71St St Ste C
Tulsa, OK 74136-5572
Mailing address
2508 E 71St St Ste C
Tulsa, OK 74136-5572
Phone (918) 794-6570
Other practice location 1
130 N Greenwood Ave
Tulsa, OK 74120-1443
Phone (918) 599-7277
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4711 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betty Jackson Counseling Services | Current | Accepting new patients | |
| BLJ Counseling and Consulting PC | Clinical | Past | Accepting new patients |
Locations
2508 E 71st St
Ste C
Tulsa, OK 74136
Phone (918) 794-6570
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.
-
- Professional Counselor
- Tulsa, OK
- NPI 1508178070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1578850483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 E 71ST ST STE C",
"city": "TULSA",
"state": "OK",
"postal_code": "741365572",
"telephone_number": "918-794-6570",
"fax_number": "918-340-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 E 71ST ST STE C",
"city": "TULSA",
"state": "OK",
"postal_code": "741365572",
"telephone_number": "918-794-6570"
}
],
"practiceLocations": [
{
"address_1": "130 N Greenwood Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741201443",
"country_code": "US",
"telephone_number": "918-599-7277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON-LIPSEY",
"first_name": "TAMIKA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.