Transitioning Boy 2 Men, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRANSITIONING BOY 2 MEN, INC

Practice address

4334 NW Expressway Ste 252
Oklahoma City, OK 73116-1576

Phone

(405) 810-5373

Fax

(405) 242-3001

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Kendra Lauderdale, LPCNPI 1154646552

Title

Clinical Director

Phone

(405) 810-5373

Specialties & licenses 1

Addresses

Other names 2

• Creative Consultant Counseling Agency, inc Doing business as
• TRANSITIONING BOY 2 MEN, INC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Lauderdale

  • Social Worker
  • Oklahoma City, OK
  • NPI 1154646552
  NPD Authorized official
• Jatonna Sue Privette, MA, MS

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1639498009
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1679217640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 252",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161576",
            "telephone_number": "405-810-5373",
            "fax_number": "405-242-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 252",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161576",
            "telephone_number": "405-810-5373",
            "fax_number": "405-242-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONING BOY 2 MEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "LAUDERDALE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-810-5373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Consultant Counseling Agency, inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRANSITIONING BOY 2 MEN, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.