Active NPI
Christene Raenea Scott, LPC
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1598966582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5204
- 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, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861877441 | Other | OK | ORGANIZATIONAL NPI |
Other names 1
- Ms. Christene Raenea Smart-Leader
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5204 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leader Professional Services LLC | Current | Accepting new patients | |
| Palmer Continuum of Care | Addiction (Substance Use Disorder) | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1861877441
-
dba Palmer Drug Abuse Program
- Addiction (Substance Use Disorder) Counselor
- Tulsa, OK
- NPI 1629359880
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.