Individual provider Active NPI

Christene Raenea Scott, LPC

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1598966582
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5204 Issued in OK
Practice address
4500 S Garnett Rd Ste 908
Tulsa, OK 74146-5214
Phone
(918) 829-4374
Fax
(918) 602-1207
NPI assigned
May 29, 2007
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X 5204 OK Primary

Addresses

Primary practice location

4500 S Garnett Rd Ste 908
Tulsa, OK 74146-5214

Mailing address

4500 S Garnett Rd Ste 908
Tulsa, OK 74146-5214
Phone (918) 808-8309

Other identifiers 1

IdentifierTypeStateIssuer
1861877441OtherOKORGANIZATIONAL NPI

Other names 1

  • Ms. Christene Raenea Smart-Leader Former name

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
5204OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leader Professional Services LLC CurrentSince Dec 13, 2022 Accepting new patients
Palmer Continuum of Care Addiction (Substance Use Disorder) PastSince Jul 24, 2022 Accepting new patients

Locations

4500 S Garnett Rd
Ste 908
Tulsa, OK 74146
Phone (918) 829-4374

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1598966582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 908",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465214",
            "telephone_number": "918-808-8309",
            "fax_number": "918-602-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD STE 908",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465214",
            "telephone_number": "918-829-4374",
            "fax_number": "918-602-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHRISTENE",
        "middle_name": "RAENEA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1861877441",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTENE",
            "last_name": "SMART-LEADER",
            "middle_name": "RAENEA",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 9, 2022; 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.