Individual provider Active NPI

Linda Kaye Van Valkenburg, LPC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1700817459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1140 Issued in OK
Practice address
2431 E 61St St
Suite 225
Tulsa, OK 74136-1263
Phone
(918) 749-5007
Fax
(918) 747-7911
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1140 OK Primary

Addresses

Primary practice location

2431 E 61St St
Suite 225
Tulsa, OK 74136-1263

Mailing address

2431 E 61St St
Suite 225
Tulsa, OK 74136-1263
Phone (918) 749-5007

Other identifiers 1

IdentifierTypeStateIssuer
1140OtherOKLPC

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
1140OKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L Jones PHD PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700817459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST",
            "address_2": "SUITE 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361263",
            "telephone_number": "918-749-5007",
            "fax_number": "918-747-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST",
            "address_2": "SUITE 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361263",
            "telephone_number": "918-749-5007",
            "fax_number": "918-747-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VALKENBURG",
        "first_name": "LINDA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1140",
            "state": "OK"
        }
    ],
    "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 Jul 8, 2007; 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.