Individual provider Active NPI

Alonzo Talton II, LADC/MH

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1760963987
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1481 Issued in OK
Practice address
15 W 6TH St
Tulsa, OK 74119-5415
Phone
(918) 295-5055
NPI assigned
Aug 25, 2018
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1481 OK Primary

Addresses

Primary practice location

15 W 6TH St
Tulsa, OK 74119-5415

Mailing address

2919 Embassy Row
Flossmoor, IL 60422-2209
Phone (925) 303-5807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 189
Ardmore, OK 73402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1760963987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 EMBASSY ROW",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222209",
            "telephone_number": "925-303-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 6TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741195415",
            "telephone_number": "918-295-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTON",
        "first_name": "ALONZO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LADC/MH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-25",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.