Individual provider Active NPI

Denise Marouk Witzansky, LPC

  • Professional Counselor
  • Sapulpa, OK
National Provider Identifier
1770927709
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2307 Issued in OK
Practice address
12926 W 71St St S
Sapulpa, OK 74066-8107
Phone
(918) 224-8420
NPI assigned
Apr 21, 2013
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 2307 OK Primary

Addresses

Primary practice location

12926 W 71St St S
Sapulpa, OK 74066-8107

Mailing address

12926 W 71St St S
Sapulpa, OK 74066-8107
Phone (918) 224-8420

Other practice location 1

3105 E Skelly Dr # 400B
Tulsa, OK 74105-6358
Phone (918) 591-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002247 OK Practitioner - Mental Health Counselor 8325490329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Recovery in Oklahoma LLCGroup PAC ID 2567830318, 10 clinicians

Practice addresses (Care Compare)

4835 S Fulton Ave
Suite 100
Tulsa, OK 74135-6976
Phone (918) 591-3071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2307OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery in Oklahoma LLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

4835 S Fulton Ave
Ste 100
Tulsa, OK 74135
Phone (918) 591-3071

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1770927709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12926 W 71ST ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740668107",
            "telephone_number": "918-224-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12926 W 71ST ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740668107",
            "telephone_number": "918-224-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 E Skelly Dr # 400B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741056358",
            "country_code": "US",
            "telephone_number": "918-591-3071",
            "fax_number": "918-615-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITZANSKY",
        "first_name": "DENISE",
        "middle_name": "MAROUK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-21",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.