Amanda Peevsasser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3015 E Skelly Dr
Ste. 103
Tulsa, OK 74105-6317

Phone

(918) 712-0859

Fax

(918) 388-6456

NPI assigned

Oct 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Fern & Willow Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owasso, OK
  • NPI 1205704236
  NPD Authorized official
• Exhale Counseling and Wellness, LLC

  • Professional Counselor
  • Tulsa, OK
  • NPI 1003538497
  NPD

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1649608928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S DENVER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194232",
            "telephone_number": "918-900-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "STE. 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-712-0859",
            "fax_number": "918-388-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEVSASSER",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746170G",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Peelen, CCC-SLP
• Michelle R Peeples, COTA/L
• Peery Chiropractic Clinic, PLLC
• Mark E Peery, D.C.
• McKenzie Christine Peet
• Trixie Peevy
• Victoria Susan Peevyhouse, LPN
• Sibe Jacob Pegou, PMHNP-BC
• Tea Pegues
• Laura Peiffer

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.