Active NPI
Courtney Riddle
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1649729971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7296
- Practice address
- 3105 E Skelly Dr # 400B
Tulsa, OK 74105-6358 - Phone
- (918) 591-3071
- Fax
- (918) 615-2261
- NPI assigned
- Sep 28, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7296 | OK | Primary |
Addresses
Primary practice location
3105 E Skelly Dr # 400B
Tulsa, OK 74105-6358
Mailing address
3105 E Skelly Dr # 400B
Tulsa, OK 74105-6358
Phone (918) 591-3071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4835 S Fulton Ave
Suite 100
Tulsa, OK 74135-6976
Phone (918) 591-3071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7296 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery in Oklahoma LLC | Current | Accepting new patients |
Locations
4835 S Fulton Ave
Ste 100
Tulsa, OK 74135
Phone (918) 591-3071
3105 E Skelly Dr
#400B
Tulsa, OK 74105
Organizations & group practices 1
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.
-
- Clinic/Center
- Tulsa, OK
- NPI 1558805515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1649729971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 E SKELLY DR # 400B",
"city": "TULSA",
"state": "OK",
"postal_code": "741056358",
"telephone_number": "918-591-3071",
"fax_number": "918-615-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 E SKELLY DR # 400B",
"city": "TULSA",
"state": "OK",
"postal_code": "741056358",
"telephone_number": "918-591-3071",
"fax_number": "918-615-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "7296",
"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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.