Active NPI
Roselene Julie Coblentz, PH.D.
- Marriage & Family Therapist
- Tulsa, OK
National Provider Identifier
1750534517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 923
- Practice address
- 2448 E 81St St
Suite 1621
Tulsa, OK 74137-4250 - Phone
- (918) 523-3133
- NPI assigned
- Oct 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 923 | OK | Primary |
Addresses
Primary practice location
2448 E 81St St
Suite 1621
Tulsa, OK 74137-4250
Mailing address
2448 E 81St St
Suite 1621
Tulsa, OK 74137-4250
Phone (918) 523-3133
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 923 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1750534517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 E 81ST ST",
"address_2": "SUITE 1621",
"city": "TULSA",
"state": "OK",
"postal_code": "741374250",
"telephone_number": "918-523-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 E 81ST ST",
"address_2": "SUITE 1621",
"city": "TULSA",
"state": "OK",
"postal_code": "741374250",
"telephone_number": "918-523-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBLENTZ",
"first_name": "ROSELENE",
"middle_name": "JULIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "923",
"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 Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.