Individual provider Active NPI

Donald Glynn Tibbitts

  • Counselor
  • Tulsa, OK
National Provider Identifier
1629413489
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6171 Issued in OK
Practice address
4845 S Sheridan Rd
Suite 510
Tulsa, OK 74145-5751
Phone
(918) 384-0002
Fax
(918) 384-0004
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6171 OK Primary

Addresses

Primary practice location

4845 S Sheridan Rd
Suite 510
Tulsa, OK 74145-5751

Mailing address

4845 S Sheridan Rd
Suite 510
Tulsa, OK 74145-5751
Phone (918) 384-0002

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
6171OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Therapeutic Interventions Past Accepting new patients
The Center for Therapeutic Interventions PastSince Dec 22, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1629413489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD",
            "address_2": "SUITE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455751",
            "telephone_number": "918-384-0002",
            "fax_number": "918-384-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD",
            "address_2": "SUITE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455751",
            "telephone_number": "918-384-0002",
            "fax_number": "918-384-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBITTS",
        "first_name": "DONALD",
        "middle_name": "GLYNN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "6171",
            "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, 2026; 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.