Active NPI
Suzanne Butler
- Counselor
- Tulsa, OK
National Provider Identifier
1639588098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11740 E 21St St
Tulsa, OK 74129-1820 - Phone
- (918) 437-9495
- Fax
- (918) 560-1399
- NPI assigned
- Aug 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11740 E 21St St
Tulsa, OK 74129-1820
Mailing address
650 S Peoria Ave
Tulsa, OK 74120-4429
Phone (918) 587-9471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 2, 2024 through Dec 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children'S Services, Inc | Past | Accepting new patients | |
| Family & Children'S Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1699989202
-
- Case Management Agency
- Tulsa, OK
- NPI 1932311495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1639588098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204429",
"telephone_number": "918-587-9471",
"fax_number": "918-560-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 E 21ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741291820",
"telephone_number": "918-437-9495",
"fax_number": "918-560-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-10",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"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 Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.