Active NPI
Seana Lynn Petri, MA, LPC, CRC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1710299128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5311
- Practice address
- 6655 S Yale Ave
Tulsa, OK 74136-3326 - Phone
- (918) 491-3700
- Fax
- (918) 481-4063
- NPI assigned
- Jul 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 5311 | OK | Primary |
Addresses
Primary practice location
6655 S Yale Ave
Tulsa, OK 74136-3326
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421840A | Medicaid | OK |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5311 | OK | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1710299128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363326",
"telephone_number": "918-491-3700",
"fax_number": "918-481-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRI",
"first_name": "SEANA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA, LPC, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200421840A",
"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 Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.